Neuropediatrics 2004; 35(6): 360-363
DOI: 10.1055/s-2004-830368
Short Communication

Georg Thieme Verlag KG Stuttgart · New York

Bilateral Epilepsy Surgery in a 4-Year-Old Child

A. Fogarasi1 , 4 , M. Neuwirth1 , M. Hegyi1 , Z. Siegler1 , P. Barsi2 , Z. Gyorsok3 , J. Janszky2 , G. Madarassy3 , L. Bognár3
  • 1Bethesda Children's Hospital, Budapest, Hungary
  • 2National Institute of Psychiatry and Neurology, Budapest, Hungary
  • 3National Institute of Neurosurgery, Budapest, Hungary
  • 4Present Address (until 15. 2. 2005): Epilepsie-Zentrum Bethel, Bielefeld, Germany
Further Information

Publication History

Received: May 3, 2004

Accepted after Revision: September 12, 2004

Publication Date:
15 November 2004 (eFirst)


Objective: Reports on bilateral epilepsy surgical interventions are anecdotal because of the possible neurological deficits caused by them.

Methods: We report on a four-year-old amaurotic child with catastrophic epilepsy due to bilateral occipital cortical dysplasia. After video-EEG monitoring and intraoperative electrocorticography he underwent a two-step bilateral occipital lobectomy.

Results: The first resection resulted in only temporary seizure cessation; however, he became seizure-free after the second operation (follow-up: 20 months).

Conclusion: Patients with catastrophic epilepsy due to bilateral epileptogenic lesions but without a high risk of additional postsurgical deficit may be good candidates for epilepsy surgery.


MD PhD András Fogarasi

Bethesda Children's Hospital

Bethesda Street 3

1146 Budapest