Extratemporal disconnective procedures for the treatment of epilepsy in children

Summary Surgical treatment of epilepsy in children often involves brain areas outside the temporal lobe and, therefore, techniques for extratemporal surgery must be included in the armamentarium of epilepsy surgery centers. Nowadays, disconnective procedures are preferable to traditional resective o...

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Published inEpilepsia (Copenhagen) Vol. 58; no. S1; pp. 28 - 34
Main Authors Santos, Marcelo Volpon, Machado, Hélio Rubens
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.04.2017
Subjects
Brain - diagnostic imaging
Brain - surgery
Child
Electroencephalography
Epilepsy
Epilepsy - diagnostic imaging
Epilepsy - surgery
Frontal disconnection
Hemispherectomy - methods
Humans
Magnetic Resonance Imaging
Pediatrics
Temporoparietooccipital disconnection
Treatment Outcome
Temporoparietooccipital disconnection
Epilepsy surgery
Frontal disconnection
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Summary:Summary Surgical treatment of epilepsy in children often involves brain areas outside the temporal lobe and, therefore, techniques for extratemporal surgery must be included in the armamentarium of epilepsy surgery centers. Nowadays, disconnective procedures are preferable to traditional resective operations because they reduce the rate of complications related to extensive resections while achieving equivalent seizure outcomes. This article describes the practical anatomy and surgical techniques used for temporoparietooccipital (TPO), parietooccipital, and frontal disconnections, as well as the possibility of extending previous lobar disconnections to the whole hemisphere (hemispherotomy).
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0013-9580
1528-1167
DOI:10.1111/epi.13683