1.Epilepsy Surgery in Children versus Adults
Ki Hyeong LEE ; Yun Jin LEE ; Joo Hee SEO ; James E BAUMGARTNER ; Michael WESTERVELD
Journal of Korean Neurosurgical Society 2019;62(3):328-335
Epilepsy is one of the most common chronic neurological disorder affecting 6–7 per 1000 worldwide. Nearly one-third of patients with newly diagnosed epilepsy continue to have recurrent seizures despite adequate trial of more than two anti-seizure drugs : drug-resistant epilepsy (DRE). Children with DRE often experience cognitive and psychosocial co-morbidities requiring more urgent and aggressive treatment than adults. Epilepsy surgery can result in seizure-freedom in approximately two-third of children with improvement in cognitive development and quality of life. Understanding fundamental differences in etiology, co-morbidity, and neural plasticity between children and adults is critical for appropriate selection of surgical candidates, appropriate presurgical evaluation and surgical approach, and improved overall outcome.
Adult
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Child
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Drug Resistant Epilepsy
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Epilepsy
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Humans
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Nervous System Diseases
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Plastics
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Quality of Life
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Seizures