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Epilepsy surgery near or in eloquent cortex in children—Practice patterns and recommendations for minimizing and reporting deficits
Author(s) -
Jayakar Prasanna,
Jayakar Anuj,
Libenson Mark,
Arzimanoglou Alexis,
Rydenhag Bertil,
Cross J. Helen,
Bhatia Sanjiv,
Tassi Laura,
Lachhwani Deepak,
Gaillard William D.
Publication year - 2018
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/epi.14510
Subject(s) - epilepsy surgery , epilepsy , medicine , psychology , pediatrics , psychiatry
Summary Objective We aimed to investigate the current practices guiding surgical resection strategies involving epileptogenic zones ( EZs ) near or in eloquent cortex ( EC ) at pediatric epilepsy surgery centers worldwide. Methods A survey was conducted among 40 respondents from 33 pediatric epilepsy surgery centers worldwide on the weight assigned to diagnostic tests used to define the EZ and EC , how EC is viewed, and how surgeries are planned for foci near or in eloquent cortex. Results A descriptive analysis was performed that revealed considerable variation in the use of diagnostic tests and resective strategies toward EZ and EC . Significance The wide variation in strategies may contribute to undesirable outcomes characterized by poor seizure control with added deficits and underscores the need to establish best practices in pediatric epilepsy surgery. The survey data were used to formulate a set of recommendations to help minimize deficits and to report them consistently.