Extra-temporal lobe Epilepsy surgery in children

International Conference on Epilepsy & Treatment

September 21-22, 2015 Baltimore, USA

Alexandra Liava

University of Milan-Bicocca, Italy

Posters-Accepted Abstracts: J Neurol Disord

Abstract :

Frontal Lobe Epilepsy (FLE) is the second most common type of localization-related epilepsy that undergoes surgical treatment, and probably the most challenging in terms of medical and surgical treatment. Posterior Cortex Epilepsy (PCE) surgery accounts for about 20% in large pediatric series and its diagnostic complexity has been emphasized in literature. We present an exclusively pediatric patient population � age at surgery of less than 16 years - with at least 2 years of postoperative follow up, consisting in: � A group of 85 children who underwent surgery for pharmaco-resistant FLE with tailored resections located strictly within the anatomical limits of the FL, and � A group of 70 children who received resections in the posterior part of the brain, namely in the parieto-occipital lobes and the occipital border of the temporal lobe, for pharmaco-resistant PCE. Thirty-eight percent of patients necessitated an invasive pre-surgical evaluation with Stereo- EEG. Seizure freedom (Engel class I) was achieved by 74% of the FLE group and 86% of the PCE group. Clinical characteristics, global outcome and prognostic elements of seizure outcome of these two distinct populations will be discussed.

Biography :

Email: alexandra_liava@yahoo.it