Selection of children with drug resistant epilepsy who are candidates for epilepsy surgery: pre and post-operative evaluation

Abstract Objective To select patients with drug resistant epilepsy following up in Pediatrics Neurology Outpatient Clinic of Children's Hospital, Ain Shams University who are candidates for surgery and to detect outcome such children as regards seizures control. Methods This prospective study was conducted over a period 36 months comprises 3 stages. Stage 1 includes selection preoperative evaluation. Evaluation included clinical assessment, video EEG, MRI protocol. 2 include phase where decision made by multidisciplinary team. post-operative evaluation Seizures frequency, Severity using Chalfont score, Engel Epilepsy Surgery Outcome Scale the International League Against (ILAE) classification. Data tabulated analyzed SSPS package windows. Results 17 underwent surgery. revealed significant decrease frequency severity at 6 12 after As 11 (64.7%) were class I months. ILAE classification 10 (58.8%) Conclusions can be hope well selected evaluated preoperatively. New studies on larger number longer duration recommended.