Clinical reasoning and investigations for resective surgery for medically refractory epilepsies in children.

Authors:
Neti Gayatri
Neti Gayatri
Nottingham University Hospitals NHS Trust
Colin Ferrie
Colin Ferrie
The Leeds Teaching Hospitals NHS Trust
United Kingdom

Epilepsy Behav 2012 Apr 29;23(4):442-6. Epub 2012 Feb 29.

The Leeds Teaching Hospitals NHS Trust, Leeds LS9 7TF, UK.

The article presents results of a UK survey of pediatric neurologists' views regarding resective surgery for medically refractory epilepsies in children. In contrast to surveys with adult neurologists, the findings indicate that delays to surgery in the pediatric field are not likely to be due to clinicians' views. There is, however, variability in clinicians' opinions as to what constitutes medically refractory epilepsy, variability in the factors reported as necessary for surgery eligibility, and uncertainty as to how these concepts should be defined. The survey highlights the need for elucidation of the epilepsy surgery process for pediatric patients, clear communication between epilepsy surgery centers and referring neurologists, and dissemination of consensus guidelines relating to the criteria for both medically refractory epilepsy and surgery eligibility.

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http://dx.doi.org/10.1016/j.yebeh.2012.01.025DOI Listing

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April 2012
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