Article

New developments in diagnostic methods, technical improvements in the surgical
field, and a better understanding of the effects of epilepsy on the developing
brain are contributing to the general observation that more children with
epilepsy are being treated surgically. Malformations of cortical development are
the most common cause of seizures in pediatric surgical candidates, and the best
predictor of seizure freedom after surgery appears to be the complete removal of
the epileptogenic lesion. To achieve this goal in challenging cases, such as
magnetic resonance imaging-negative or multifocal lesions,
a staged approach with
pre- and/or post-resective invasive electroencephalography monitoring has
increasingly been used at a number of centers.
As the experience with this
approach has grown, and the risks and benefits are better understood, a larger
number of patients with epilepsy have been identified as potential surgical
candidates. In this review, a number of the recent developments in pediatric
epilepsy surgery are discussed.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS