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- Title
Comparative role of neuropsychological testing in the presurgical evaluation of children with medically intractable epilepsies.
- Authors
Souza-Oliveira, Cecília; Escorsi-Rosset, Sara; Bianchin, Marino Muxfeldt; Terra, Vera Cristina; Wichert-Ana, Lauro; Machado, Hélio Rubens; Sakamoto, Américo Ceiki
- Abstract
In the present study, we evaluated the preoperative demographic, clinical, and neuropsychological variables that could predict postoperative seizure outcome in a group of pediatric epileptic patients. We studied 40 consecutive pediatric patients, ages ranging from 6 to 16 years, that underwent resective surgery for the treatment of medically intractable epilepsy at the Clinical Hospital of Ribeirão Preto School of Medicine. We performed ictal electroencephalography (EEG), interictal EEG, magnetic resonance imaging (MRI), and a preoperative neuropsychological assessment in the presurgical workup. The following factors were correlated with seizure outcome: (1) duration of epilepsy, (2) surgery localization, (3) localized Neuropsychological (NPS) Evaluation, (4) ictal EEG, (5) interictal EEG, and (6) MRI. Mental retardation, NPS tests, and the other demographic variables failed to correlate with seizure reduction. The identification of predictor variables of epilepsy surgery outcome could improve the epileptic prognosis and guarantee the children's full potential development.
- Subjects
NEUROPSYCHOLOGICAL tests; EPILEPSY; CHILDREN with developmental disabilities; BRAIN diseases; PEDIATRICS
- Publication
Child's Nervous System, 2009, Vol 25, Issue 7, p875
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-009-0839-1