Judith Helen Cross
Neurosciences Unit, UCL-Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust, London, United Kingdom
Judith Helen Cross Neurosciences Unit UCL-Institute of Child Health, The Wolfson Center Mecklenburgh Square London, WC1N 2AP United Kingdom
Source of Support: None, Conflict of Interest: None
Surgery is now an established treatment for drug resistant symptomatic focal epilepsy in childhood. The aim is to resect the focus of epileptic seizures without functional compromise. A wide range of procedures may be considered from focal to multilobar resections and hemidisconnection procedures, the most common pathology being malformations of cortical development. Seizure freedom will be seen in 40-80% dependent on the underlying pathology and completeness of resection/disconnection of the epileptogenic zone. When likely long-term benefits are evaluated, surgery should be considered early in these children.