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Epilepsy Behav. 2012 Apr;23(4):481-6. doi: 10.1016/j.yebeh.2011.12.011. Epub 2012 Mar 2.

Systematic review and case series of neuropsychological functioning after epilepsy surgery in children with dysembryoplastic neuroepithelial tumors (DNET).

Author information

1
Alberta Health Services, Canada. Taryn.Fay-McClymont@albertahealthservices.ca

Abstract

RATIONALE:

The purposes of this study were to 1) conduct a review of neuropsychological (NP) outcomes after epilepsy surgery for DNET and 2) present pre/post-surgical NP results from a series of children with DNET.

METHODS:

First, a systematic literature review was conducted with specific inclusion criteria. Second, a review of DNET surgical patients seen at two tertiary-care hospitals using reliable change methods of NP functioning was conducted.

RESULTS:

Of 300 citations retrieved, 7 studies met criteria. Studies reported low average to average pre-surgical IQ. Engel Class I outcome was approximately 85%.

CASE SERIES:

Thirteen children completed pre/post-surgical NP assessments. Pre-surgically, children demonstrated low average to average functioning. Post-surgically, few patients showed reliable change. One-third of children demonstrated psychological improvement.

CONCLUSIONS:

NP outcome following DNET has not been well-described. Children with DNET demonstrate low average to average NP functioning pre-surgically, good seizure outcome, and stable NP functioning post-surgically.

PMID:
22386912
DOI:
10.1016/j.yebeh.2011.12.011
[Indexed for MEDLINE]

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