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  • 1
    Electronic Resource
    Electronic Resource
    Patient satisfaction with surgical treatment of refractory epilepsy done in childhood and early adolescence (1998)
    Springer
    Child's nervous system 14 (1998), S. 30-32 
    Details
    ISSN: 1433-0350
    Keywords: Key words Satisfaction ; Surgery ; Epilepsy ; Childhood ; Adolescence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The results of a retrospective self-controlled telephone satisfaction survey of 63 patients who had undergone an earlier resection for the treatment of medically refractory epilepsy before the age of 18 years was reported. The survey items consisted of a global rating scale and a series of open-ended questions about positive and negative outcomes as a result of the surgery. Most (80%) of the patients felt the surgery had had a positive effect on their lives. The mean global score was 6.24+2.4 (scale 0–9). Strong positive correlations were found between seizure control and degree of satisfaction and between perceived postsurgical neurological deficits and dissatisfaction.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003810050170
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Outcome and life prospects after surgical management of medically intractable epilepsy in patients under 18 years of age (1997)
    Springer
    Child's nervous system 13 (1997), S. 530-535 
    Details
    ISSN: 1433-0350
    Keywords: Key words Pediatric ; Epilepsy ; Outcome ; Surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A retrospective analysis of seizure outcome and quality of life assessment was done in 64 patients under 18 years of age with medically refractory epilepsy who underwent 64 primary and 16 repeat operative procedures in an attempt to control their epilepsy. At least 2 years' follow-up data were available for each patient. Operative procedures were 44 temporal lobe resections; 16 extratemporal resections; and 4 hemispherectomies. Effective control of previously intractable seizures was obtained in most patients: 55%, 11%, and 17% achieved Engel class I, II, and III status, respectively. Successful seizure control was thus obtained in 83%, while 17% (Engel class IV) failed to improve significantly after operation. Quality-of-life measures parallelled the improvements in seizures control, being highest in Engel I, outcome group and lowest in Engel IV outcome group. In appropriately selected pediatric and adolescent patients with medical refractory epilepsy, surgical management can offer a safe and effective adjunct to medication.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003810050132
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    A different kind of wisdom (1998)
    Springer
    Child's nervous system 14 (1998), S. 91-91 
    Details
    ISSN: 1433-0350
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003810050183
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Long-term socioeconomic outcome following surgical intervention in the treatment of refractory epilepsy in childhood and adolescence (1998)
    Springer
    Child's nervous system 14 (1998), S. 362-365 
    Details
    ISSN: 1433-0350
    Keywords: Key words Social outcome ; Epilepsy ; Surgery ; Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Surgical treatment of refractory epilepsy in childhood and adolescence has been shown to be effective in reducing the seizure frequency. This paper examines the question: “Does this result in a better socioeconomic outcome in later years?” Patients who underwent a surgical procedure for the treatment of their medically refractory epilepsy at our hospital, had more than 2-years' follow-up, and were less than 18 years old at time of survey were included. From a retrospective chart review, age at onset and at surgery, duration of seizures prior to surgery, years of follow-up, type of surgery, and neurological status were obtained. From a telephone survey, seizure frequency after surgery, marital, financial and driving status, level of education, and employment status were ascertained. Sixty-four patients in our epileptic surgical series meet entry criteria. Significantly higher levels of education, employment status and independence were found in patients with a class I Engel outcome compared to other Engel outcomes.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003810050245
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Special events (1994)
    Springer
    Child's nervous system 10 (1994), S. 138-138 
    Details
    ISSN: 1433-0350
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00302780
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Predictors of seizure outcome following cortical resection in pediatric and adolescent patients with medically refractory epilepsy (1999)
    Springer
    Child's nervous system 15 (1999), S. 45-50 
    Details
    ISSN: 1433-0350
    Keywords: Key words Predictors ; Outcome ; Surgery ; Epilepsy ; Pediatrics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Several preoperative clinical variables have been reported to have value as predictors of seizure outcome following the surgical resection of epileptogenic focus in adults who have had medically refractory epilepsy. The present paper reports the results of a retrospective review of the ability of these variables to predict seizure outcome in a group of pediatric patients who had medically refractory epilepsy and underwent surgical resection of an epileptogenic focus at the Children's Hospital of Eastern Ontario. Variables in this review included age at first seizure, age at time of surgery, duration of seizures, seizure type, sex, family history, etiology, level of intelligence, EEG data, results of imaging studies, findings on examination of the central nervous system, and location and site of surgical resection. We found 64 patients who met the entry criteria for this review. Normal intelligence and tumor as etiology were associated with a good postoperative seizure outcome in patients who had a temporal resection; no variables had positive correlation with outcome in the extratemporal group. Caution must be used in the extrapolation of data and inclusion of studies of predictors of seizure outcome for adults to pediatric age groups.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003810050326
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    Epilepsy surgery for 5- to 18-year old patients with medically refractory epilepsy – is it cost efficient? (1999)
    Springer
    Child's nervous system 15 (1999), S. 433-433 
    Details
    ISSN: 1433-0350
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003810050428
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    Intracranial plasma cell granuloma (2000)
    Springer
    Brain tumor pathology 17 (2000), S. 97-103 
    Details
    ISSN: 1861-387X
    Keywords: Intracranial plasma cell granuloma ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Plasma cell granulomas (PCGs) are benign, inflammatory masses of unknown etiology composed of polyclonal mature plasma and lymphoid cells. The lung is their most common location, and occurrence within the cranial cavity is extremely rare. We report the case of an 11-year-old girl who presented with seizures and was diagnosed as having a dural-based right frontal tumor that extended toward the sagittal sinus and the falx. The lesion was totally excised, together with the abnormal dura. A limited cortical excision was also performed using electrocorticographic guidance. Histopathologic diagnosis of intracranial plasma cell granuloma was reached after extensive immunohistochemical tests and electron microscopy. This is the third case of PCG with description of changes in the neighboring cerebral tissue. Although PCGs are well-circumscribed lesions, lymphoplasmocytic inflammation, neuronal loss, and reactive gliosis occur within the adjacent cortex. Disturbed cortical lamination, as we have observed, appears to be a histological finding that has not been described previously.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02484280
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    Paper (German National Licenses)
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