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Conference Paper: Paediatric Epilepsy Surgery Program in Hong Kong: experience in Queen Mary Hospital/Duchess of Kent Children's Hospital

TitlePaediatric Epilepsy Surgery Program in Hong Kong: experience in Queen Mary Hospital/Duchess of Kent Children's Hospital
Authors
KeywordsMedical sciences
Issue Date2009
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/index.html
Citation
The 1st Hong Kong Neurological Congress cum 22nd Annual Scientific Meeting of the Hong Kong Neurological Society, Hong Kong, 6-8 November 2009. In Hong Kong Medical Journal, 2009, v. 15 n. 6, suppl. 7, p. 41, abstract no. P6 How to Cite?
AbstractBACKGROUND: Surgery is a well-established treatment for adults with intractable seizures. Increasingly, infants and children are being considered for epilepsy surgery. In a growing child, epilepsy surgery has the additional benefit of aborting cognitive decline and improving development and behaviour. METHODS: The paediatric epilepsy surgery programme as well as paediatric video telemetry service were set up in Queen Mary Hospital since the early 1990s. From 1998 to 2006, a total of 10 patients were sent overseas for resective surgery. One patient suffered from Rasmussen’s syndrome, three patients with tuberous sclerosis, three with focal cortical dysplasia, three with hypothalamic hamartoma. Since 2001, regular epilepsy surgery joint clinic was set up. From 2002 till now, 14 patients underwent curative epilepsy surgery at our centre. One patient suffered from Rasmussen’s syndrome, three patients with multi-lobar cortical dysplasia, four patients with focal cortical dysplasia, one with tuberous sclerosis, two with dysembryoplastic neuroepithelial tumour, one with gliosis, two with mesial temporal sclerosis. RESULTS: Age at operation ranged from 3 months to 19 years. Age from seizure onset to surgery ranged from 2 months to 16 years. Seizure outcome at a mean of 3.5 years long-term follow-up (3 months-7 years), using Engel’s classification, was class 1 in five (36%) patients, class II in 5 (43%) patients, and class III in 3 (21%) patients. CONCLUSION: With careful case selection, early surgical intervention in paediatric patients with intractable epilepsy is associated with favourable outcome and provides an important opportunity in preventing irreversible decline in intelligence and disability.
Persistent Identifierhttp://hdl.handle.net/10722/129892
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorYung, AWYen_US
dc.contributor.authorWong, VCNen_US
dc.contributor.authorKhong, PLen_US
dc.contributor.authorMak, Hen_US
dc.contributor.authorHung, KNen_US
dc.contributor.authorChan, PHen_US
dc.contributor.authorHo, WYen_US
dc.contributor.authorFan, YWen_US
dc.date.accessioned2010-12-23T08:43:53Z-
dc.date.available2010-12-23T08:43:53Z-
dc.date.issued2009en_US
dc.identifier.citationThe 1st Hong Kong Neurological Congress cum 22nd Annual Scientific Meeting of the Hong Kong Neurological Society, Hong Kong, 6-8 November 2009. In Hong Kong Medical Journal, 2009, v. 15 n. 6, suppl. 7, p. 41, abstract no. P6en_US
dc.identifier.issn1024-2708-
dc.identifier.urihttp://hdl.handle.net/10722/129892-
dc.description.abstractBACKGROUND: Surgery is a well-established treatment for adults with intractable seizures. Increasingly, infants and children are being considered for epilepsy surgery. In a growing child, epilepsy surgery has the additional benefit of aborting cognitive decline and improving development and behaviour. METHODS: The paediatric epilepsy surgery programme as well as paediatric video telemetry service were set up in Queen Mary Hospital since the early 1990s. From 1998 to 2006, a total of 10 patients were sent overseas for resective surgery. One patient suffered from Rasmussen’s syndrome, three patients with tuberous sclerosis, three with focal cortical dysplasia, three with hypothalamic hamartoma. Since 2001, regular epilepsy surgery joint clinic was set up. From 2002 till now, 14 patients underwent curative epilepsy surgery at our centre. One patient suffered from Rasmussen’s syndrome, three patients with multi-lobar cortical dysplasia, four patients with focal cortical dysplasia, one with tuberous sclerosis, two with dysembryoplastic neuroepithelial tumour, one with gliosis, two with mesial temporal sclerosis. RESULTS: Age at operation ranged from 3 months to 19 years. Age from seizure onset to surgery ranged from 2 months to 16 years. Seizure outcome at a mean of 3.5 years long-term follow-up (3 months-7 years), using Engel’s classification, was class 1 in five (36%) patients, class II in 5 (43%) patients, and class III in 3 (21%) patients. CONCLUSION: With careful case selection, early surgical intervention in paediatric patients with intractable epilepsy is associated with favourable outcome and provides an important opportunity in preventing irreversible decline in intelligence and disability.-
dc.languageengen_US
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/index.html-
dc.relation.ispartofHong Kong Medical Journal-
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.-
dc.subjectMedical sciences-
dc.titlePaediatric Epilepsy Surgery Program in Hong Kong: experience in Queen Mary Hospital/Duchess of Kent Children's Hospitalen_US
dc.typeConference_Paperen_US
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=15&issue=6, suppl. 7&spage=41, abstract no. P6&epage=&date=2009&atitle=Paediatric+Epilepsy+Surgery+Program+in+Hong+Kong:+Experience+in+Queen+Mary+Hospital/Duchess+of+Kent+Children%27s+Hospital+-
dc.identifier.emailYung, AWY: ayung@HKUCC.hku.hken_US
dc.identifier.emailWong, VCN: vcnwong@hku.hken_US
dc.identifier.emailKhong, PL: plkhong@hkucc.hku.hken_US
dc.identifier.emailMak, H: makkf@hkucc.hku.hk-
dc.identifier.emailHung, KN: hungkn@HKUCC.hku.hk-
dc.identifier.emailChan, PH: jphchan@HKUCC.hku.hk-
dc.identifier.emailHo, WY: wyho@hkucc.hku.hk-
dc.identifier.emailFan, YW: fanyw@HKUCC.hku.hk-
dc.identifier.hkuros177073en_US
dc.identifier.volume15-
dc.identifier.issue6, suppl. 7-
dc.identifier.spage41-
dc.identifier.epage41-
dc.description.otherThe 1st Hong Kong Neurological Congress cum 22nd Annual Scientific Meeting of the Hong Kong Neurological Society, Hong Kong, 6-8 November 2009. In Hong Kong Medical Journal, 2009, v. 15 n. 6, suppl. 7, p. 41, abstract no. P6-

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