Document Detail

Ethical issues in surgical decision making concerning children with medically intractable epilepsy.
MedLine Citation:
PMID:  21856238     Owner:  NLM     Status:  Publisher    
The widespread inclusion of surgical strategies in the treatment of medically intractable epilepsy is largely justified by the medical and psychosocial burden of the illness. Performing these procedures in pediatric populations is associated with distinct challenges ranging from unique seizure etiologies to issues surrounding brain development and functional plasticity. As the trend toward more aggressive surgical intervention continues, the ethical foundation of current and emerging practices must be increasingly scrutinized. Here, we present the first article discussing ethical issues in the surgical management of medically intractable epilepsies in children. We discuss principles of informed consent, harm reduction, and justice in this vulnerable patient population. We also highlight the unique ethical challenge of surgical decision making concerning developmentally delayed children. The recognition of these issues is essential to providing patient-centered, responsible, and ethical care.
George M Ibrahim; Aria Fallah; O Carter Snead; Irene Elliott; James M Drake; Mark Bernstein; James T Rutka
Related Documents :
13678498 - On ethical issues at the foundation of the debate over the goals of psychoanalysis.
8053838 - The gp and the specialist. ethical and other problems.
11651548 - Avoiding "cloudcuckooland" in ethics committee case review: matching models to issues a...
16036688 - Imaging or imagining? a neuroethics challenge informed by genetics.
22595888 - Keystone microbiome meeting 2012: a mountain top experience.
24722598 - Cvos quizzed on the 'big issues'.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-8-17
Journal Detail:
Title:  Epilepsy & behavior : E&B     Volume:  -     ISSN:  1525-5069     ISO Abbreviation:  -     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-8-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892858     Medline TA:  Epilepsy Behav     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Division of Neurosurgery, Hospital for Sick Children and Toronto Western Hospital, Toronto, ON, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Ictal characteristics of psychogenic nonepileptic seizures: What we have learned from video/EEG reco...
Next Document:  The Prognostic Significance of Lymphovascular Invasion on Biopsy Specimens in Lung Cancer Treated Wi...