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Perspectives in Pediatrics

Elaine Wyllie, MD

Am J Dis Child. 1991;145(3):314-320.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The potential of cortical resection for epilepsy was first demonstrated by Penfield and Jasper¹ at the Montreal Neurologic Institute (Montreal, Quebec) in the 1940s and 1950s. The application of this technique in children was emphasized in the 1960s and 1970s^2-8; since then, it has become apparent that early surgery in selected cases may enable children to become seizure free for a normal transition into adulthood. This may prevent some of the difficult psychosocial problems that occur in adults with longstanding epilepsy, including dependency, poor selfesteem, and long-term vocational disability.⁹ In addition, if epilepsy surgery enables a child to discontinue antiepileptic medication, years of exposure to these drugs can be avoided. As pediatricians become better acquainted with surgical options, patients are benefiting from earlier referral for surgery. The purpose of this review is to inform children's physicians about the indications for referral . . . [Full Text PDF of this Article]

Author Affiliations
From the Pediatric Epilepsy Program, The Cleveland (Ohio) Clinic Foundation.

Footnotes
Accepted for publication August 8, 1990.

Reprint requests to the Pediatric Epilepsy Program, The Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Ave, Cleveland, OH 44195-5221 (Dr Wyllie).

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