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Multiple Subpial Transection for Landau‐Kleffner Syndrome
Author(s) -
Buelow Janice M.,
Aydelott Pat,
Pierz Deborah M.,
Heck Barbara
Publication year - 1996
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/s0001-2092(06)63123-2
Subject(s) - aphasia , psychology , lesion , cerebral cortex , cortex (anatomy) , sensation , epilepsy , audiology , perioperative , medicine , neuroscience , anesthesia , psychiatry
Landau‐Kleffner syndrome (LKS) is an acquired epileptic aphasia caused by a lesion in the speech centers of the cerebral cortex during a critical period of childhood development. Characteristics of LKS include language deterioration, seizure disorders, and severe electroencephalogram abnormalities. Multiple subpial transection (MST) is a surgical procedure that eliminates seizure activity in the cerebral cortex while preserving the child's normal cortical functions of speech, movement, primary sensation, and memory. This article presents a summary of clinical studies on LKS and discusses the diagnosis of LKS, traditional medical treatments, patient selection for MST procedures, and perioperative care of children undergoing MST procedures. AORN J 63 (April 1996) 727–739.