Palavras-chave
neurocirugía
lobectomía temporal anterior
pediatría
Como Citar
Resumo
El tratamiento de la epilepsia tiene gran impacto en la calidad de vida y supervivencia de los pacientes pediátricos. El Hospital Universitario San Ignacio cuenta con recursos humanos y técnicos para desarrollar cirugía de epilepsia, que es una alternativa efectiva para las de tipo refractario.
Métodos: Se revisó la literatura acerca del tratamiento quirúrgico de la epilepsia. Posteriormente, se realizó un estudio observacional descriptivo de 34 casos de cirugía de epilepsia en este Hospital (enero de 2010-marzo de 2014).
Resultados: Los pacientes se encontraban con 2,9 anticonvulsivantes en promedio. De ellos, 12 de 34 pacientes presentaban epilepsia del lóbulo temporal, por lo que el procedimiento quirúrgico más común fue la lobectomía del temporal (10/34). De los 34, 6 pacientes presentaron complicaciones leves; y 19 de 34 se clasificaron como Engel clase I en el postoperatorio.
Conclusiones: La cirugía es una alternativa para el tratamiento de epilepsia que ofrece mejoría e incluso remisión de las crisis.
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Javalakshmi S, Panigrahi M, Nanda SK, et al. Surgery for childhood epilepsy. Ann Indian Acad Neurol. 2014;17:69-79.
Thomas R, Santhosh G, Thomas M. Role of surgery in pediatric epilepsy. Indian Pediatr. 2007;14:263-73.
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