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Epilepsiechirurgie bei Kindern: Operationsindikationen und Möglichkeiten

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Zusammenfassung

Die Akzeptanz der Epilepsiechirurgie als Behandlungsoption bei schweren Epilepsien im Kindesalter ist in den vergangenen Dekaden stetig gestiegen. Spätestens bei nachgewiesener Pharmakoresistenz sollte die Möglichkeit eines epilepsiechirurgischen Eingriffs erwogen und die entsprechende prächirurgische Diagnostik eingeleitet werden. Der epileptologische Erfolg hängt vom Epilepsiesyndrom, den zugrunde liegenden Ursachen und der Abgrenzbarkeit des epileptogenen Areals ab. Mit der Anfallskontrolle sind oftmals entscheidende Verbesserungen der Kognition und des Verhaltens zu beobachten. Insgesamt sollte man bei Kindern mit einer schweren fokalen Epilepsie frühzeitig die Chance überprüfen, durch einen operativen Eingriff bei akzeptablem Risiko Anfallsfreiheit und eine günstigere psychosoziale Entwicklung zu erreichen.

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Authors and Affiliations

  1. Epileptologie-Neuropädiatrie, Universitäts-Kinderspital Zürich, Eleonorenstiftung, Steinwiesstrasse 75, Zürich, 8032, Schweiz

    G. Ramantani

  2. Klinik für Neurochirurgie, Universitätsklinikum Freiburg, Breisacher Straße 64, Freiburg, 79106, Deutschland

    J. Zentner

Authors
  1. G. Ramantani
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  2. J. Zentner
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Correspondence to G. Ramantani .

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Editors and Affiliations

  1. Sektionsleiterin Pädiatrische Neurochirurgie, Neurochirurgische Klinik Universitätsklinikum, Heidelberg, Germany

    Heidi Bächli

  2. Universitätskinderklinik beider Basel (UKBB), Binningen, Switzerland

    Jürg Lütschg

  3. Chefärztin der Abteilung Kinderneurochirurgie Asklepios Kinderklinik, Sankt Augustin, Germany

    Martina Messing-Jünger

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Ramantani, G., Zentner, J. (2018). Epilepsiechirurgie bei Kindern: Operationsindikationen und Möglichkeiten. In: Bächli, H., Lütschg, J., Messing-Jünger, M. (eds) Pädiatrische Neurochirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48700-6_48

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  • DOI: https://doi.org/10.1007/978-3-662-48700-6_48

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48699-3

  • Online ISBN: 978-3-662-48700-6

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