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Chapter 37 - Epilepsy Surgery

Published online by Cambridge University Press:  30 November 2019

By
Matthew D. James  and
Adam C. Adler
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter, reviews the basics for children undergoing epilepsy surgery. The authors discuss the incidence and types of seizures as well as various modalities for seizure suppression (e.g. ketogenic diet, vagal nerve stimulation). The chapter presents the surgical approaches to epilepsy surgery,MRI mapping followed by laser ablation and electrocorticography with mapping followed by surgical excision. The anesthetic implications related to these complex patients are presented.

Keywords

Epilepsyseizuresvagal nerve stimulatorketogenic dietlaser ablationintraoperative MRIneuromonitoringelectrocorticography
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 161 - 163
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Chui, J, Manninen, P, Valiante, T, et al. The anesthetic considerations of intraoperative electrocorticography during epilepsy surgery. Anesth Analg. 2013;117(2):479–86. PMID: 23780418.CrossRefGoogle ScholarPubMed
Curry, DJ, Gowda, A, McNichols, RJ, et al. MR-guided stereotactic laser ablation of epileptogenic foci in children. Epilepsy Behav. 2012;24(4):408–14. PMID: 22687387.CrossRefGoogle ScholarPubMed
Russ, SA, Larson, K, Halfon, N. A national profile of childhood epilepsy and seizure disorder. Pediatrics. 2012;129:256–64. PMID: 22271699.CrossRefGoogle ScholarPubMed
Zack, MM, Kobau, R. National and state estimates of the numbers of adults and children with active epilepsy United States, 2015. MMWR Morb Mortal Wkly Rep. 2017;66(31):821–5. PMID: 28796763.CrossRefGoogle Scholar

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