Pediatric Epilepsy Surgery. Experience at the International Center for Neurological Restoration

Abstract

Introduction: Epilepsy surgery in children and adolescents with drug-resistant epilepsy is an effective method for the control of epileptic seizures.

Objective: To show the results of the pre-surgical evaluation and the post-surgical follow-up in pediatric patients operated for epilepsy at the International Center for Neurological Restoration (CIREN).

Material and Method: A prospective descriptive study was carried out in a series of 20 patients who underwent epilepsy surgery in the period from November / 2013 to February / 2020.

Results: There was a 73.3% decrease in the frequency of seizures in the first year of evolution, without significant difference according to the types of surgeries performed. The 25% of patients had transitory complications and no child died. According to the Engel scale applied to 70% of the patients in the last consultation, 50% showed good evolution in the control of seizures, of these 21.4% remained seizure-free. The rest (50%) showed recurrence of seizures, with significant improvement (between 50% and 90%).

Conclusions: Surgery turned out to be an effective and safe surgical procedure for this group of patients, all patients managed to significantly reduce the frequency of seizures both in the short and long term and there were no serious complications or deaths.