Bilateral Epilepsy Surgery in a 4-Year-Old Child

Abstract

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.

Key words

Occipital lobe epilepsy - intractable seizures - bilateral epilepsy surgery - children - focal cortical dysplasia

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