gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Epilepsy surgery in children: perioperative results

Epilepsiechirurgie bei Kindern: perioperative Aspekte

Meeting Abstract

  • corresponding author C. Scheiwe - Neurochirurgische Universitätsklinik, Albert-Ludwigs-Universität Freiburg
  • S. Rona - Neurochirurgische Universitätsklinik, Albert-Ludwigs-Universität Freiburg
  • J. Zentner - Neurochirurgische Universitätsklinik, Albert-Ludwigs-Universität Freiburg
  • V. van Velthoven - Neurochirurgische Universitätsklinik, Albert-Ludwigs-Universität Freiburg

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc10.05.-06.04

The electronic version of this article is the complete one and can be found online at:

Published: May 4, 2005

© 2005 Scheiwe et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.




Epilepsy surgery in Children has some characteristics, notably patient care and preoperative evaluation. On the other hand, brain plasticity allows functional transfers after surgical resection. Perioperative aspects and complications of epilepsy surgery in children are presented.


During a 7-year period, from 1998 until 2004, 144 operative procedures in 126 Children were performed, 33=22% for invasive monitoring, 105=74% for therapeutic purpose: 18 temporal lesionectomies with Amygdalohippocampectomy (AHE), 4 selective AHEs, 67 cortical lesionectomies, 9 vagus nerve stimulators and 7 functional hemispherectomies. In 3 cases grid electrodes were explanted without possible resection.


Three operative revisions were necessary (2%), 2 due to hematoma and 1 wound infection. 10 minor complications which were completely regredient within 3 months (7%) and 3 major complications (2%), 2 pareses and 1 partial dysphasia, occurred. Calculated deficits, for example quadrant anopsia due to occipital resection, are not mentioned since they were taken into account for better seizure control. Grid electrode implantation allowed surgical resection in 95%, no early grid explantation was necessary. More than 70% of the operated children remain seizure-free.


Epilepsy surgery in children is feasible with acceptable perioperative risks and good seizure control in more than 85%, but it should be performed in experienced centers.