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Neuropediatrics. 2004 Dec;35(6):360-3.

Bilateral epilepsy surgery in a 4-year-old child.

Author information

  • 1Bethesda Children's Hospital, 1146 Budapest, Hungary. fogarasi@bethesda.hu

Abstract

OBJECTIVE:

Reports on bilateral epilepsy surgical interventions are anecdotal because of the possible neurological deficits caused by them.

METHODS:

We report on a four-year-old amaurotic child with catastrophic epilepsy due to bilateral occipital cortical dysplasia. After video-EEG monitoring and intraoperative electrocorticography he underwent a two-step bilateral occipital lobectomy.

RESULTS:

The first resection resulted in only temporary seizure cessation; however, he became seizure-free after the second operation (follow-up: 20 months).

CONCLUSION:

Patients with catastrophic epilepsy due to bilateral epileptogenic lesions but without a high risk of additional postsurgical deficit may be good candidates for epilepsy surgery.

PMID:
15627944
[PubMed - indexed for MEDLINE]
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