Abstract:
OBJECTIVES:In this follow-up study, we wanted to present the long-term outcome (5-21 years) in terms of seizure freedom, seizure reduction, and the cognitive development in the first 47 children who underwent epilepsy surgery at the University Hospital in Lund from 1991 to 2007. MATERIALS AND METHODS:All children who underwent epilepsy surgery in the southern region of Sweden were assessed for cognitive function before surgery and at follow-up. A review of medical documents for demographic data and seizure-related characteristics was made by retrospectively examining the clinical records. RESULTS:Forty-seven children with a median age at surgery of 8 years (range 0.5-18.7 years) were included. Twenty-three children achieved seizure freedom, six demonstrated >75% improvement in seizure frequency, and none of the children experienced an increase in seizure frequency. Twenty-one children required a reoperation to achieve satisfactory seizure outcomes. Cognitive functional level was preserved, and the majority of patients, 34 (76%), followed their expected cognitive trajectory. The patients who became seizure free significantly improved their cognitive processing speed, even after long-term follow-up. CONCLUSIONS:Epilepsy surgery in children offers suitable candidates a good chance of significantly improved outcome and low rates of complications. Several children, however, required a reoperation to achieve satisfactory seizure outcomes. Cognitive level was preserved, and the majority of patients followed their expected cognitive trajectory. Cognitive improvements in processing speed appear to occur in parallel with seizure control and were even more pronounced in subjects with no anti-epilepsy drugs. These improvements persisted even after long-term follow-up.
journal_name
Acta Neurol Scandjournal_title
Acta neurologica Scandinavicaauthors
Hallböök T,Tideman P,Rosén I,Lundgren J,Tideman Edoi
10.1111/ane.12154subject
Has Abstractpub_date
2013-12-01 00:00:00pages
414-21issue
6eissn
0001-6314issn
1600-0404journal_volume
128pub_type
杂志文章abstract:OBJECTIVES:To assess the possibility that the occurrence of seizures or the use of antiepileptic drug (AED) therapy might have influenced the rate of occurrence of volunteered histories of patient-recognized depression during pregnancy in women with epilepsy. MATERIALS AND METHODS:Analysis of data from 2039 pregnancie...
journal_title:Acta neurologica Scandinavica
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journal_title:Acta neurologica Scandinavica
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doi:10.1111/j.1600-0404.1999.tb00404.x
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journal_title:Acta neurologica Scandinavica
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doi:10.1111/ane.12308
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doi:10.1111/ane.12700
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pub_type: 杂志文章
doi:10.1111/ane.13347
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journal_title:Acta neurologica Scandinavica
pub_type: 杂志文章
doi:10.1111/j.1600-0404.1980.tb01509.x
更新日期:1980-06-01 00:00:00
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journal_title:Acta neurologica Scandinavica
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doi:10.1111/j.1600-0404.1982.tb03055.x
更新日期:1982-01-01 00:00:00
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journal_title:Acta neurologica Scandinavica
pub_type: 临床试验,杂志文章
doi:10.1111/j.1600-0404.1985.tb00858.x
更新日期:1985-08-01 00:00:00
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doi:10.1034/j.1600-0404.2002.01245.x
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更新日期:1990-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-02-01 00:00:00
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journal_title:Acta neurologica Scandinavica
pub_type: 杂志文章
doi:10.1111/j.1600-0404.1994.tb01660.x
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:Thirty patients with glioblastoma multiforme (GBM) were treated by boron neutron capture therapy (BNCT) at the Studsvik facility in Sweden, in a clinical trial exploring a procedure in which 900 mg p-boronophenylalanine (BPA) per kilo body weight was infused in 6 h. OBJECTIVE:The present study was designed ...
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doi:10.1111/j.1600-0404.2007.00837.x
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更新日期:2017-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-09-01 00:00:00
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更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1600-0404.1990.tb00983.x
更新日期:1990-05-01 00:00:00
abstract::Three Alzheimer's disease patients with Pisa syndrome were presented. These patients were treated with cholinesterase inhibitors within a post-marketing surveillance study. The clinical and pharmacological histories of these patients suggest a relation between cholinesterase inhibitors and the pleurothotonus. The diff...
journal_title:Acta neurologica Scandinavica
pub_type: 杂志文章
doi:10.1111/j.1600-0404.2005.00388.x
更新日期:2005-03-01 00:00:00
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journal_title:Acta neurologica Scandinavica
pub_type: 杂志文章
doi:10.1111/j.1600-0404.1980.tb01491.x
更新日期:1980-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1600-0404.1997.tb00270.x
更新日期:1997-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1034/j.1600-0404.2003.00166.x
更新日期:2003-12-01 00:00:00
abstract::Single, small (less than 1 cm) enhancing lesions are frequent findings on CT scans of Indian patients with seizures. These lesions have also been reported in patients from other parts of the world. They often resolve spontaneously and their etiology has been disputed for over a decade. Initially diagnosed in Indian pa...
journal_title:Acta neurologica Scandinavica
pub_type: 杂志文章,评审
doi:10.1111/j.1600-0404.1991.tb04996.x
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVE:We wanted to describe the use of thrombolytic treatment for stroke in Scandinavia, to assess stroke doctors' opinions on this treatment, to identify barriers against treatment, and to suggest improvements to overcome these barriers. METHODS:We sent questionnaires to 493 Scandinavian doctors, who were involve...
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pub_type: 杂志文章
doi:10.1111/j.1600-0404.2009.01162.x
更新日期:2009-10-01 00:00:00