Journal
EPILEPSY & BEHAVIOR
Volume 20, Issue 3, Pages 561-565Publisher
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.yebeh.2010.11.003
Keywords
Tuberous sclerosis; Refractory epilepsy; Multistage surgeries; Quality of life
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Parents of children with tuberous sclerosis complex who underwent multistage resections for treatment of refractory seizures were offered a telephone questionnaire regarding quality of life (QOL) of child and family since surgery. Of 53 families, 39 responded. Age at epilepsy onset was birth to 3 months. Average duration of epilepsy before the first surgery was 5.1 years, and average age at surgery was 5.8. The average follow-up was 3.9. Seventy-seven percent had a > 90% reduction in disabling seizures. In all outcome categories, 46-85% had at least a moderate improvement in QOL There was a significant correlation between QOL variables and Engel outcome class. Despite the potential burden posed by the aggressive surgical approach, including multiple surgeries and long hospitalization periods, 94% of parents would choose the same course once again. We conclude that aggressive surgical treatment of tuberous sclerosis complex-related refractory seizures is associated with significant control of epilepsy as well as improved QOL for the patient and family. (C) 2010 Elsevier Inc. All rights reserved.
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