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Are there changes in intelligence and memory functioning following surgery for the treatment of refractory epilepsy in childhood?

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Abstract

Materials and methods. A retrospective review of the neuropsychological and medical variables of 26 children who underwent a cortical resection as part of the management of their medically refractory epilepsy was conducted. Neuropsychological variables included pre- and postoperative measures of intelligence (Wechsler Scales) and memory functioning (Wide Range Assessment of Memory and Learning). Medical variables included age at onset of seizures, age at surgery, site of resection, and degree of seizure control postoperatively.

Results. Twenty patients had temporal resections (13 left-sided). Six had extratemporal resections. In this series, cortical resection as treatment of epilepsy in children did not result in a significant change in performance on measures of intelligence or memory functioning. No significant correlation was found between the medical variables and the neuropsychological outcome.

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Authors and Affiliations

  1. Mental Health Patient Service Unit (Discipline of Psychology), Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, Ontario, Canada, K1H 8L1, Canada

    Sally M. Kuehn & Pauline M. Richards

  2. Department of Paediatrics (Division of Neurology), Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, Ontario, Canada, K1H 8L1, Canada

    Daniel L. Keene

  3. Department of Surgery (Division of Neurosurgery), Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, Ontario, Canada, K1H 8L1, Canada

    Enrique C. Ventureyra

Authors
  1. Sally M. Kuehn
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  2. Daniel L. Keene
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  3. Pauline M. Richards
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  4. Enrique C. Ventureyra
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Kuehn, S.M., Keene, D.L., Richards, P.M. et al. Are there changes in intelligence and memory functioning following surgery for the treatment of refractory epilepsy in childhood?. Childs Nerv Syst 18, 306–310 (2002). https://doi.org/10.1007/s00381-002-0599-7

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  • DOI: https://doi.org/10.1007/s00381-002-0599-7

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