| Comparative role of neuropsychological testing in the presurgical evaluation of children with medically intractable epilepsies. | |
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MedLine Citation:
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PMID: 19252915 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: In the present study, we evaluated the preoperative demographic, clinical, and neuropsychological variables that could predict postoperative seizure outcome in a group of pediatric epileptic patients. MATERIALS AND METHODS: We studied 40 consecutive pediatric patients, ages ranging from 6 to 16 years, that underwent resective surgery for the treatment of medically intractable epilepsy at the Clinical Hospital of Ribeirão Preto School of Medicine. We performed ictal electroencephalography (EEG), interictal EEG, magnetic resonance imaging (MRI), and a preoperative neuropsychological assessment in the presurgical workup. RESULTS: The following factors were correlated with seizure outcome: (1) duration of epilepsy, (2) surgery localization, (3) localized Neuropsychological (NPS) Evaluation, (4) ictal EEG, (5) interictal EEG, and (6) MRI. Mental retardation, NPS tests, and the other demographic variables failed to correlate with seizure reduction. CONCLUSIONS: The identification of predictor variables of epilepsy surgery outcome could improve the epileptic prognosis and guarantee the children's full potential development. |
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Authors:
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Cecília Souza-Oliveira; Sara Escorsi-Rosset; Marino Muxfeldt Bianchin; Vera Cristina Terra; Lauro Wichert-Ana; Hélio Rubens Machado; Américo Ceiki Sakamoto |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-02-28 |
Journal Detail:
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Title: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Volume: 25 ISSN: 1433-0350 ISO Abbreviation: Childs Nerv Syst Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-06-05 Completed Date: 2009-08-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: Germany |
Other Details:
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Languages: eng Pagination: 875-80 Citation Subset: IM |
Affiliation:
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Department of Neurology, Psychiatry and Psychology, Ribeirão Preto School of Medicine, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Brain / physiopathology, surgery Child Cognition Cognition Disorders / etiology Electroencephalography Epilepsy / diagnosis*, physiopathology, surgery* Female Follow-Up Studies Humans Magnetic Resonance Imaging Male Neuropsychological Tests* Preoperative Care* Prognosis Seizures / diagnosis, physiopathology, surgery Severity of Illness Index Treatment Outcome |
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