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Surgical Management of Epilepsy

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Nursing Care of the Pediatric Neurosurgery Patient

Abstract

Epilepsy is the most common neurologic disorder of childhood, affecting 1 in every 100 children. This chapter discusses the different types of epilepsy, surgical management, and selection criteria for surgical patients. Preoperative preparation and postoperative nursing considerations, including nursing care in the epilepsy monitoring unit (EMU), are also addressed. The importance of a multidisciplinary team approach is emphasized, particularly nursing’s role as communicator and family advocate. Quality of life outcomes with a patient case study illustrate the goals of surgical management.

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References

  • Aldenkamp A, Besag F, Gobbi G, Caplan R, Dunn D, Sillanpaa (2016) Psychiatric and behavioral disorders in children with epilepsy (ILAE Task Force Report): adverse cognitive and behavioural effects of antiepileptic drugs in children. Epileptic Disord 18(supplement):555–567

    Google Scholar 

  • Alonso F, Sweet J, Miller J (2016) Speech mapping using depth electrodes: the “electric wada”. Clin Neurol Neurosurg 144:88–90

    Article  PubMed  Google Scholar 

  • Asano E, Brown EC, Csaba J (2013) How to establish causality in epilepsy surgery. Brain Dev 35:706–720

    Article  PubMed  PubMed Central  Google Scholar 

  • Beier AD, Rutka JT (2013) Hemispherectomy: historical review and recent technical advances. Neurosurg Focus 34:E11

    Article  PubMed  Google Scholar 

  • Berg AT, Berkovic SF, Brodie MJ, Buchhalter J, Cross JH, vanEmde BW, Engel J, French J, Glauser TA, Mathern GW, Moshe SL, Nordli D, Plouin P (2010) Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE Commission on Classification and Terminology 2005–2009. Epilepsia 51:676–685

    Article  PubMed  Google Scholar 

  • Berg AT, Zelko FA, Levy SR, Testa FM (2012) Age at onset of epilepsy, pharmacoresistance, and cognitive outcomes. Neurology 79:1384–1388

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bien CG, Granata T, Antozzi C, Cross JH Dulac O, Kurthen M, Lassman H, Mantegazza R, Villemure JG, Spreafico R, Elger CE (2005) Pathogenesis, diagnosis and treatment of Rasmussen encephalitis: a European consensus statement. 128(3):454–471

    Google Scholar 

  • Blumcke I, Thom M, Aronica E, Armstrong DD, Vinters HV, Palmini A, Jacques TS, Avanzini G, Barkovich AJ, Battaglia G, Becker A, Cepeda C, Cendes F, Colombo N, Crino P, Cross JH, Delalande O, Dubeau F, Duncan J, Guerrini R, Kahane P, Mathern G, Najm I, Ozkara C, Raybaud C, Represa A, Roper SN, Salamon N, Schulze-Bonhage A, Tassi L, Vessani A, Spreafico R (2011) The clinicopathologic spectrum of focal cortical dysplasias: a consensus classification proposed by an ad hoc Task Force of the ILAE Diagnostic Methods Commission. Epilepsia 52:158–174

    Article  PubMed  Google Scholar 

  • Bodin E, Le Moing AG, Bourel-Ponchel E, Quere L, Toussaint P, Berquin P (2016) Vagus nerve stimulation in the treatment of drug-resistant epilepsy in 29 children. Eur J Pediatr Neurol 20:346–351

    Article  Google Scholar 

  • Bower RS, Wirrell EC, Eckel LJ, Wong-Kisiel LC, Nickels KC, Wetjen NM (2015) Repeat resective surgery in complex pediatric refractory epilepsy: lessons learned. J Neurosurg Pediatr 16:94–100

    Article  PubMed  Google Scholar 

  • Brodie MJ, Barry SJ, Bamagous GA, Kwan P (2013) Effect of doasage failed of first antiepileptic drug on subsequent outcome. Epilepsia 54:194–198

    Article  CAS  PubMed  Google Scholar 

  • Brooks-Kayal AR, Bath KG, Berg AT, Galanopoulou AS, Holmes GL, Jensen FE, Kanner AM, O’Brien TJ, Whittemore VH, Winawer MR, Patel M, Scharfman HE (2013) Issues related to symptomatic and disease-modifying treatments affecting cognitive and neuropsychiatric comorbidities of epilepsy. Epilepsia 54(suppl 4):44–60

    Article  PubMed  PubMed Central  Google Scholar 

  • Comi A (2015) Current therapeutic options in Sturge-Weber syndrome. Semin Pediatr Neurol 22:295–301

    Article  PubMed  PubMed Central  Google Scholar 

  • Comi AM, Sahin M, Hammill A, Kaplan EH, Juhasz C, North P, Ball KL, Levin AV, Cohen B, Morris J, Lo W, Roach ES (2016) 2015 Sturge-Weber syndrome research workshop. Pediatr Neurol 58:12–24

    Article  PubMed  Google Scholar 

  • Connolly MB, Hendson G, Steinbok P (2006) Tuberous sclerosis complex: a review of the management of epilepsy with emphasis on surgical aspects. Childs Nerv Syst 22:896–908

    Article  PubMed  Google Scholar 

  • Cross JH, Jayakar P, Nordli D, Delalande O, Duchowny M, Wieser HG, Guerrini R, Mathern G (2006) Proposed criteria for referral and evaluation of children for epilepsy surgery: recommendations of the Subcommission of Pediatric Epilepsy Surgery. Epilepsia 47:952–959

    Article  PubMed  Google Scholar 

  • Curatolo P, Moavero R, Roberto D, Graziola F (2015) Genotype/phenotype correlations in tuberous sclerosis complex. Semin Pediatr Neurol 22:259–273

    Article  PubMed  Google Scholar 

  • Curatolo P, Aronica E, Jansen A, Jansen F, Kotulska K, Lagae L, Moavero R, Jozwiak S (2016) Early onset epileptic encephalopathy or genetically determined encephalopathy with early onset epilepsy? Eur J Pediatr Neurol 20:203–211

    Article  Google Scholar 

  • Deleo F, Garbelli R, Milesi G, Gozzo F, Bramerio M, Villani F, Cardinale F, Trinagali G, Spreafico R, Tassi L (2016) Short-and long-term surgical outcomes of temporal lobe epilepsy associated with hippocampal sclerosis: relationships with neuropathology. Epilepsia 57:306–315

    Article  PubMed  Google Scholar 

  • Di Rocco C, Tamburrini G (2006) Sturge-Weber syndrome. Childs Nerv Syst 22:909–921

    Article  CAS  PubMed  Google Scholar 

  • Diaz RJ, Sherman EMS, Hader WJ (2008) Surgical treatment of intractable epilepsy associated with focal cortical dysplasia. Neurosurg Focus 25:E6

    Article  PubMed  Google Scholar 

  • Dubeau F (2011) Rasmussen encephalitis (chronic focal encephalitis). In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Durnford AJ, Rodgers W, Kirkham FJ, Mullee MA, Whitney A, Previtt M, Kinton L, Harris M, Gray WP (2011) Very good inter-rater reliability of Engel and ILAE epilepsy surgery outcome classifications in a series of 76 patients. Seizure. doi:10.1016/j.seizure.2011.08.004

    PubMed  Google Scholar 

  • Dym RJ, Burns J, Lipton ML (2011) Is functional MR imaging assessment of hemispheric language dominance as good as WADA test? Radiology 261:446–455

    Article  PubMed  Google Scholar 

  • El Tahry R, Hirsch M, Van Rijckevorsel K, Santos SF, de Tourtchaninoff M, Rooijakkers H, Coenen V, Schulze-Bonhage A (2016) Early experiences with tachycardia-triggered vagus nerve stimulation using the AspireSR stimulator. Epileptic Disord 18:155–162

    PubMed  Google Scholar 

  • Engel JJ (2013) Why is there still doubt to cut it out? Epilepsy Curr 13:198–204

    Article  PubMed  PubMed Central  Google Scholar 

  • Engel JJ, Van Ness PC, Rasmussen TB, Ojemann LM (1993) Outcome with respect to epileptic seizures. In: Engel JJ (ed) Surgical treatment of the epilepsies, 2nd edn. Raven Press, New York, pp 609–621

    Google Scholar 

  • Englot DJ, Breshears JK, Sun PP, Chang EF, Auguste KI (2013) Seizure outcomes after resective surgery for extra-temporal lobe epilepsy in pediatric patients. J Neurosurg Pediatr 12:126–133

    Article  PubMed  Google Scholar 

  • Englot DJ, Rolston JD, Wang DD, Sun PP, Chang EF, Auguste KI (2013) Seizure outcomes after temporal lobectomy in pediatric patients: a systematic review. J Neurosurg Pediatr 12:134–141

    Article  PubMed  Google Scholar 

  • Englot DJ, Seunggu JH, Rolston JD, Ivan ME, Kuperman RA, Chang EF, Gupta N, Sullivan JE, Auguste KI (2014) Epilepsy surgery failure in children: a quantitative and qualitative analysis. J Neurosurg Pediatr 14:386–395

    Article  PubMed  PubMed Central  Google Scholar 

  • Englot DJ, Nagarajan SS, Imber BS, Raygor KP, Honma SM, Mizuiri D, Mantle M, Knowlton RC, Kirsch HE, Chang EF (2015) Epileptogenic zone localization using magnetoencephalography predicts seizure freedom in epilepsy surgery. Epilepsia 56:949–958

    Article  PubMed  PubMed Central  Google Scholar 

  • Englot DJ, Harjus B, Chang EF (2016) Seizure outcomes in nonresective epilepsy surgery: an update.

    Google Scholar 

  • Fallah A, Rodgers SD, Weil AG, Vadera S, Monsouri A, Connolly MB, Major P, Ma T, Devinsky O, Weiner HL, Gonzalez-Martinez JA, Bingaman WE, Najm I, Gupta A, Ragheb J, Bhatia S, Steinbok P, Witiw CD, Widjaja E, Snead OC, Rutka JT (2015) Resective epilepsy surgery for tuberous sclerosis in children: determining predictors of seizure outcomes in a multicenter retrospective cohort study. Neurosurgery 77:517–524

    Article  PubMed  Google Scholar 

  • Farwell JR, Dodrill CB, Batzel LW (1985) Neuropsychological abilities of children with epilepsy. Epilepsia 26:395–400

    Article  CAS  PubMed  Google Scholar 

  • Fisher RS, Acevedo C, Arzimanoglou A, Bogacz A, Cross JH, Elger CE, Engel JJ, Forsgren L, French JA, Glynn M, Hesdorffer C, Lee BI, Mathern GW, Moshe SL, Perucca E, Scheffer IE, Tomson T, Watanabe M, Wiebe S (2014) A practical clinical definition of epilepsy. Epilepsia 55:475–482

    Article  PubMed  Google Scholar 

  • Go C, Snead OC (2008) Pharmacologically intractable epilepsy in children: diagnosis and preoperative evaluation. Neurosurg Focus 25(E2):1–7

    Google Scholar 

  • Gonzalez-Martinez J, Bulacio J, Alexopoulos A, Jehi L, Bingaman W, Najm I (2013) Stereoencephalography in the “difficult to localize” refractory focal epilepsy: early experience from a North American epilepsy center. Epilepsia 54:323–330

    Article  PubMed  Google Scholar 

  • Gonzalez-Martinez J, Mullin J, Bulacio J, Gupta A, Enatsu R, Najm I, Bingaman W, Wyllie E, Lachhwani D (2014) Stereoelectroencephalography in children and adolescents with difficult to localize refractory focal epilepsy. Neurosurgery 75:258–267

    Article  PubMed  Google Scholar 

  • Graham D, Tisdall MM, Gill D (2016) Corpus callosotomy outcomes in pediatric patients: a systematic review. Epilepsia 57:1053–1068

    Article  PubMed  Google Scholar 

  • Guan J, Karsy M, Ducis K, Bollo R (2016) Surgical strategies for pediatric epilepsy. Transl Pediatr 5:55–66

    Article  PubMed  PubMed Central  Google Scholar 

  • Gupta A (2011) Epilepsy in the setting of neurocutaneous syndromes. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Hao X, Wong ISM, Kwan P (2011) Interrater reliability of the international consensus definition of drug-resistant epilepsy: a pilot study. Epilepsy Behav 22:388–390

    Article  PubMed  Google Scholar 

  • Harvey S, Cross JH, Shinnar S, Mathern BW, ILAE Pediatric Epilepsy Surgery Survey Taskforce (2008) Defining the spectrum of international practice in pediatric epilepsy surgery patients. Epilepsia 49:146–155

    Article  PubMed  Google Scholar 

  • Hirfanoglu T, Serdaroglu A, Cansu A, Bilir E, Gucleyener K (2006) Semiological seizure classification: before and after video-EEG monitoring of seizures. Pediatr Neurol 36:231–235

    Article  Google Scholar 

  • Hoffman CE, Ochi A, Snead BC, Widjaja E, Hawkins C, Tisdal M, Rutka JT (2016) Rasmussen’s encephalitis: advances in management and outcomes. Childs Nerv Syst 32:629–640

    Article  PubMed  Google Scholar 

  • Holmes G (2002) Epilepsy surgery in children: when, why, and how. Neurology 58(suppl 7):S13–S20

    Article  PubMed  Google Scholar 

  • Jalilian L, Limbrick DD, Steger-May K, Johnston J, Powers AK, Smyth MD (2010) Complete versus two-thirds corpus callosotomy in children: analysis of outcome. J Neurosurg Pediatr 6:257–266

    Article  PubMed  Google Scholar 

  • Jehi L, Martinez-Gonzalez J, Bingaman W (2011) Outcome and complications of epilepsy surgery. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Jenny B, Smoll N, Hassani YE, Momkian S, Pollo C, Korff CM, Seeck M, Schaller K (2016) Pediatric epilepsy surgery: could age be a predictor of outcomes? J Neurosurg Pediatr 29:1–7

    Google Scholar 

  • Jette N, Wiebe S (2016) Initial evaluation of the patient with suspected epilepsy. Neurol Clinics 34:339–350

    Article  Google Scholar 

  • Johnston JM, Mangano FT, Ojemann JG, Park TS, Trevathan E, Smyth M (2006) Complications of invasive subdural electrode monitoring at St. Louis Children’s Hospital 1994–2005. J Neurosurg 105(5 Suppl):343–347

    PubMed  Google Scholar 

  • Kabir SMR, Rajaraman C, Ritty C, Zaki HS, Kemeny AA, McMullan J (2009) Vagus nerve stimulation in children with intractable epilepsy: indications, complications, and outcome. Childs Nerv Syst 25:1097–1100

    Article  CAS  PubMed  Google Scholar 

  • Karsy M, Guan J, Ducis K, Bollo RJ (2016) Emerging surgical therapies in the treatment of pediatric epilepsy. Transl Pediatr 5:67–78

    Article  PubMed  PubMed Central  Google Scholar 

  • Kellinghaus C, Luders HO (2011) Classification of seizures. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Kim EH, Ko TS (2016) Cognitive impairment in childhood onset epilepsy: up-to-date information about its cause. Kor J Pediatr 59:155–164

    Article  Google Scholar 

  • Kim KJ, Lee R, Chae JH, Hwang YS (2002) Application of semiological seizure classification to epileptic seizures in children. Seizure 11:281–284

    Article  CAS  PubMed  Google Scholar 

  • Kunieda T, Mikuni N, Shibata S, Inano R, Yamao Y, Kikuchi T, Matsumoto R, Takahashi J, Ikeda A, Fukuyama H, Miyamoto S (2013) Long-term seizure outcome following resective surgery for epilepsy: to be or not to be completely cured? Neurol Med Chir (Tokyo) 53:805–813

    Article  Google Scholar 

  • Kwan P, Brodie M (2000) Early identification of refractory epilepsy. N Engl J Med 342:314–319

    Article  CAS  PubMed  Google Scholar 

  • Kwan P, Arzimanoglou A, Berg AT, Brodie MJ, Hauser WA, Mathern G, Moshe SL, Perucca E, Wiebe S, French J (2010) Definition of drug resistant epilepsy: consensus proposal by the ad hoc Task Force of the ILAE Commission on Therapeutic Strategies. Epilespia 51:1069–1077

    Article  CAS  Google Scholar 

  • Lee J, Adelson P (2004) Neurosurgical management of pediatric epilepsy. Pediatr Clin N Am 51:441–456

    Article  Google Scholar 

  • Lee YJ, Kang HC, Kim HD, Kim DS, Shim KW, Ma SE, Lee JS (2015) Neurocognitive function in children after anterior temporal lobectomy with amygdalohippocampectomy. Pediatr Neurol 52:88–93

    Article  CAS  PubMed  Google Scholar 

  • Lewis EC, Weil AG, Duchowny M, Bhatia S, Ragheb J, Miller I (2015) MR-guided laster interstitial thermal therapy for pediatric drug-resistant lesional epilepsy. Epilepsia 56:1590–1598

    Article  PubMed  Google Scholar 

  • Limbrick DD, Narayan P, Powers AK, Ojemann JG, Park TS, Bertrand M, Smyth MD (2011) Hemispherotomy: efficacy and analysis of seizure recurrence. J Neurosurg Pediatr 4:323–332

    Article  Google Scholar 

  • Linehan C, Berg AT (2011) Epidemiologic aspects of epilepsy. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Loddenkemper T (2011) Classification of the epilepsies. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Luders HO, Acharya J, Baumgartner C et al (1998) Semiological seizure classification. Epilepsia 39:1006–1013

    Article  CAS  PubMed  Google Scholar 

  • Maguire MJ, Jackson CF, Marson AG, Nolan SJ (2016) Treatments for the prevention of Sudden Unexpected Death in Epilepsy (SUDEP). Cochrane Database Syst Rev (7):CD011792

    Google Scholar 

  • Malmgren K, Rydenhag B, Hallbook T (2015) Reappraisal of corpus callosotomy. Curr Opin Neurol 28:175–181

    Article  PubMed  Google Scholar 

  • Mapstone TB (2008) Vagus nerve stimulation: current concepts. Neurosurg Focus 25(E9):1–4

    Google Scholar 

  • Meador KJ (2011) Cognitive effects of epilepsy and antiepileptic medications. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Mikati MA, Ataya N, Ferzli J, Kurdi R, El-Banna D, Rahi A, Shamseddine A, Sinno D, Comair Y (2010) Quality of life after surgery for intractable partial epilepsy in children: a cohort study with controls. Epilepsy Res 90:207–213

    Article  PubMed  Google Scholar 

  • Moosa A, Jehi L, Marashly A, Cosmo G, Lachhwani D, Wylie E, Kotagoal P, Bingaman W, Gupta A (2013) Long-term functional outcome and their predictors after hemispherectomy in 115 children. Epilepsia 54:1771–1779

    Article  PubMed  Google Scholar 

  • Mullin JP, Sexton D, Al-Omar S, Bingaman W, Gonzalez-Martinez J (2016a) Outcomes of subdural grid electrode monitoring in the stereoencephalography era. World Neurosurg 89:255–258

    Article  PubMed  Google Scholar 

  • Mullin JP, Shriver M, Alomar S, Najm I, Bulacio J, Chauvel P, Gonzalez-Martinez J (2016b) Is SEEG safe? A systematic review and meta-analysis of stereo-electroencephalography-related complications. Epilepsia 57:386–401

    Article  PubMed  Google Scholar 

  • Neal EG, Chagge H, Schwartz RH, Lawson MS, Edwards N, Fitzsimmons G, Whitney A, Cross JH (2008) The ketogenic diet for the treatment of childhood epilepsy: a randomized control trial. Lancet Neurol 7:500–506

    Article  PubMed  Google Scholar 

  • Neubauer BA, Hahn A, Tuxhorn I (2011) Progressive and infantile myoclonic epilepsies. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Nissen IA, Stam CJ, Citroen J, Reijneveld JC, Hillebrand A (2016) Preoperative evaluation using magnetoencephalography: experience in 382 epilepsy patients. Epilepsy Res 124:23–33

    Article  CAS  PubMed  Google Scholar 

  • Nordli DR, De Vivo DC (2011) The ketogenic diet. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Panayiotopoulos CP (2012) The new ILAE report on terminology and concepts for the organization of epilepsies: critical review and contribution. Epilepsia 53:399–404

    Article  PubMed  Google Scholar 

  • Parr J, Augustijn PB, Geerts Y, vanEmde BW (2001) Classification of epileptic seizures: a comparison of two systems. Epilepsia 42:476–482

    Article  Google Scholar 

  • Phi JH, Cho BK, Wang KC, Lee JY, Hwang YS, Kim KJ, Chae JH, Kim IO, Park SH, Kim SK (2010) Longitudinal analyses of the surgical outcomes of pediatric epilepsy patients with focal cortical dysplasia. J Neurosurg Pediatr 6:49–56

    Article  PubMed  Google Scholar 

  • Pittau F, Grouiller F, Spinelli L, Seeck M, Michel CM, Vulliemoz S (2014) The role of functional neuroimaging in pre-surgical epilepsy evaluation. Front Neurol 5:1–16

    Google Scholar 

  • Puka K, Smith ML (2015) Predictors of long-term quality of life after pediatric epilepsy surgery. Epilepsia 56:873–881

    Article  PubMed  Google Scholar 

  • Ramey WL, Martirosyan NL, Lieu CM, Hasham HA, Lemole GM, Weinand ME (2013) Current management and surgical outcomes of medically intractable epilepsy. Clin Neurol Neurosurg 115:2411–2418

    Article  PubMed  Google Scholar 

  • Revesz D, Rydenhag B, Ben-Menachem E (2016) Complications and safety of vagus nerve stimulation: 25 years of experience at a single center. J Neurosurg Pediatr 18:97–104

    Article  PubMed  Google Scholar 

  • Rolston JD, Chang EF (2016) Stereotactic laser ablation for hypothalamic hamartoma. Neurosurg Clin N Am 27:59–67

    Article  PubMed  Google Scholar 

  • Rowland NC, Englot DJ, Cage TA, Sughrue E, Barbaro NM, Chang EF (2012) A meta-analysis of predictors of seizure freedom in surgical management of focal cortical dysplasia. J Neurosurg 116:1035–1041

    Article  PubMed  Google Scholar 

  • Ryvlin P, Rheims S (2016) Predicting epilepsy surgery outcome. Curr Opin Neurol 29:182–188

    Article  CAS  PubMed  Google Scholar 

  • Rzezak P, Valente KD, Duchowny MS (2014) Temporal lobe epilepsy in children: executive and mnestic impairments. Epilepsy Behav 31:117

    Article  PubMed  Google Scholar 

  • Sanchez F, An S, Loddenkemper T (2015) Pediatric refractory epilepsy: a decision analysis comparing medical versus surgical treatment. Epilepsia 56:263–272

    Article  Google Scholar 

  • Schevon CA, Carlson C, Zaroff C, Weiner HJ, Doyle WK, Miles D, Lajoie J, Kuzniecky R, Pacia S, Vazquez B, Luciano D, Najjar S, Devinsky O (2007) Pediatric language mapping: sensitivity of neurostimulation and WADA testing in epilepsy surgery. Epilepsia 48:539–545

    Article  PubMed  Google Scholar 

  • Schramm J, Kuczaty S, Sassen R, Elger CE, von Lehe M (2012) Pediatric functional hemispherectomy: outcome in 92 patients. Acta Neurochir (Wien) 154:2017–2028

    Article  CAS  Google Scholar 

  • Schuele SU, Luders HO (2008) Intractable epilepsy: management and therapeutic alternatives. Lancet Neurol 7:514–524

    Article  PubMed  Google Scholar 

  • Seneviratne U (2016) Sudden unexpected death in epilepsy: a silent killer. Ceylon Med J 61(2):47–51

    Article  CAS  PubMed  Google Scholar 

  • Serdaroglu A, Arhan E, Kurt G, Erdem A, Hirfanoglu T, Aydin K, Bilir E (2016) Long term effect of vagus nerve stimulation in pediatric intractable epilepsy: an extended follow-up. Childs Nerv Syst 32:641–646

    Article  PubMed  Google Scholar 

  • Shurtleff HA, Barry D, Firman T, Warner MH, Aguilar-Estrada RL, Saneto RP, Kuratani JD, Ellenbogen RG, Novotny EJ, Ojemann JG (2015) Impact of epilepsy surgery on development of preschool children: identification of a cohort likely to benefit from early intervention. J Neurosurg Pediatr 16:383–339

    Article  PubMed  Google Scholar 

  • Sood S, Marupudi NI, Asano E, Haridas A, Ham SD (2015) Endoscopic corpus callosotomy and hemispherectomy. J Neurosurg Pediatr 16:681–686

    Article  PubMed  Google Scholar 

  • Sudarsanam A, Arden-Holmes SL (2014) Sturge-Weber syndrome: from the past to the present. Eur J Pediatr Neurol 18:257–266

    Article  Google Scholar 

  • Tatum WO (2011) Atypical absence seizures, myoclonic, tonic, and atonic seizures. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Tellez-Zenteno JF, Ronquillo LH, Moien-Afshari F, Wiebe S (2010) Surgical outcomes in lesional and non-lesional epilepsy: a systematic review and meta-analysis. Epilepsy Res 89:310–318

    Article  PubMed  Google Scholar 

  • Tovar-Spinoza Z, Carter D, Ferrone D, Eksioglu Y, Huckins S (2013) The use of MRI-guided laser-induced thermal ablation for epilepsy. Childs Nerv Syst 29:2089–2094

    Article  PubMed  Google Scholar 

  • Tsur VG, O’Dell C, Shinnar S (2011) Initiation and discontinuation of antiepileptic drugs. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5ths edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Vadera S, Mullin J, Bulacio J, Najm I, Bingaman W, Gonzalez-Martinez J (2013) Stereoelectroencephalography following subdural grid placement in difficult to localize epilepsy. Neurosurgery 72:723–728

    Article  PubMed  Google Scholar 

  • Vadera S, Griffith SD, Rosenbaum BP, Seicean A, Kshettry ML, Weil RJ, Bingaman W, Jehi L (2015) National trends and in-hospital complication rates in more than 1600 hemispherectomies from 1988 to 2010: a nationwide inpatient sample study. Neurosurgery 77:185–191

    Article  PubMed  Google Scholar 

  • Varadkar S, Bien CG, Kruse CA, Jensen FE, Bauer J, Pardo CA, Vincent A, Mathem GW, Cross JH (2014) Rasmussen’s encephalitis: clinical features, pathobiology, and treatment advances. Lancet Neurology13(2):195–205

    Google Scholar 

  • Velasco TR, Mather GW (2011) Surgical treatment of refractory temporal lobe epilepsy. In: Wyllie E (ed) Wyllie’s treatment of epilepsy: principles and practice, 5th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Vendrame M, Loddenkemper T (2010) Surgical treatment of refractory status epilepticus in children: candidate selection and outcome. Semin Pediatr Neurol 17:182–189

    Article  PubMed  Google Scholar 

  • Wasade VS, Elisevich K, Tahir R, Smith B, Schultz L, Schwalb J, Spanaki-Varelas M (2015) Long-term seizure and psychosocial outcomes after resective surgery for intractable epilepsy. Epilepsy Behav 43:122–127

    Article  PubMed  Google Scholar 

  • Weiser HG, Blume WT, Fish D, Goldensohn E, Hufnagel A, King D, Sperling MR, Luders H (2001) ILAE commission report: proposal for a new classification of outcome with respect to epileptic seizures following epilepsy surgery. Epilepsia 42:282–286

    Article  Google Scholar 

  • West S, Nolan SJ, Newton R (2016) Surgery for epilepsy: a systematic review of current evidence. Epileptic Disord 18:113–120

    PubMed  Google Scholar 

  • Widjaja E, Raybaud C (2008) Advances in neuroimaging in patients with epilepsy. Neurosurg Focus 25(E3):1–11

    Google Scholar 

  • Yang PF, Zhang HJ, Pei JS, Tian J, Lin Q, Mei Z, Zhong ZH, Jia YZ, Chen ZQ, Zheng ZY (2014) Intracranial electroencephalography with subdural and/or depth electrodes in children with epilepsy: techniques, complications, and outcomes. Epilepsy Res 108:1662–1670

    Article  PubMed  Google Scholar 

  • Zupanc ML, dos Santos Rubio EJ, Werner RR, Schwabe MJ, Mueller WM, Lew SM, Marcuccilli CJ, O’Connor SE, Chico MS, Eggener KA, Hecox KE (2010) Epilepsy surgery outcomes: quality of life and seizure control. Pediatr Neurol 42:12–20

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Children’s Hospital Colorado, University of Colorado School of Medicine, 13123 E. 16th Ave, 330, Aurora, CO, 80045, USA

    Patti L. Batchelder RN, MSN, PPCNP-BC

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  1. Patti L. Batchelder RN, MSN, PPCNP-BC
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  1. Childrens Mercy Hospital, Kansas City, Missouri, USA

    Cathy C. Cartwright

  2. Division of Pediatric Neurosurgery, Banner Children Specialists at Cardon, Children’s Medical Center, Mesa, Arizona, USA

    Donna C. Wallace

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Batchelder, P.L. (2017). Surgical Management of Epilepsy. In: Cartwright, C., Wallace, D. (eds) Nursing Care of the Pediatric Neurosurgery Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-49319-0_13

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  • DOI: https://doi.org/10.1007/978-3-319-49319-0_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-49318-3

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