caa a22 4500 463178939 CHVBK 20180406164833.0 cr unu---uuuuu 170326e20070101xx s 000 0 eng 10.1007/s00381-006-0200-x doi (NATIONALLICENCE)springer-10.1007/s00381-006-0200-x Evaluation of quality of life and clinical status of children operated on for intractable epilepsy [Elektronische Daten] [Dawid Larysz, Patrycja Larysz, Marek Mandera] Aim: The aim of the study was evaluation of surgical treatment of epilepsy measured by changes in quality of life (QOL) and in seizure frequency and severity. Materials and methods: Examined group consists of 24 boys and 9 girls. We performed corpus callosotomy, lesionectomy, vagal nerve stimulation, temporal lobectomy and multiple subpial transections. Age at surgery ranged from 5months to 19years, with mean follow-up of 11.9months. QOL was evaluated on the basis of the questionnaire created by us, in which parents were asked to assess the following variables before and after the surgical procedure: communication, socialization, daily living skills, movement abilities and behavioural problems. The seizure frequency was assessed with the Engel's scale, the modified Engel's scale and the Seizure Scoring System. Clinical state of all the patients was evaluated as well. Results: There were no patients with stable and worsening QOL status. In the whole group treated with callosotomy, the considerable improvement in QOL concerned 36.4% of cases. In more than 95% of cases, the reduction in seizures frequency is greater than 75%. In more than 43% of patients, there are no seizures after surgery. Conclusions: Surgical treatment of intractable epilepsy is an effective method in terms of both seizure control and QOL improvement. Our results indicate the improvement in QOL of all operated patients. The improvement in QOL was accompanied by decrease in frequency and ‘positive' changes in morphology of seizures. Improvement in QOL, as equivalent to seizure reduction rate, may influence further differentiation of qualification methods and surgical procedures of epilepsy. Springer-Verlag, 2006 Intractable epilepsy nationallicence Pediatric epilepsy surgery nationallicence Quality of life nationallicence Larysz Dawid Department of Pediatric Neurosurgery, Medical University of Silesia, ul. Medykow 16, 40-752, Katowice, Poland aut Larysz Patrycja Department of Pediatric Neurosurgery, Medical University of Silesia, ul. Medykow 16, 40-752, Katowice, Poland aut Mandera Marek Department of Pediatric Neurosurgery, Medical University of Silesia, ul. Medykow 16, 40-752, Katowice, Poland aut Child's Nervous System Springer-Verlag 23/1(2007-01-01), 91-97 0256-7040 23:1<91 2007 23 381 https://doi.org/10.1007/s00381-006-0200-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0200-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Larysz Dawid Department of Pediatric Neurosurgery, Medical University of Silesia, ul. Medykow 16, 40-752, Katowice, Poland aut NATIONALLICENCE 700 1- Larysz Patrycja Department of Pediatric Neurosurgery, Medical University of Silesia, ul. Medykow 16, 40-752, Katowice, Poland aut NATIONALLICENCE 700 1- Mandera Marek Department of Pediatric Neurosurgery, Medical University of Silesia, ul. Medykow 16, 40-752, Katowice, Poland aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/1(2007-01-01), 91-97 0256-7040 23:1<91 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer