TITLE

Epilepsy Surgery for Early Infantile Epileptic Encephalopathy (Ohtahara Syndrome)

AUTHOR(S)
Malik, Saleem I.; Galliani, Carlos A.; Hernandez, Angel W.; Donahue, David J.
PUB. DATE
December 2013
SOURCE
Journal of Child Neurology;Dec2013, Vol. 28 Issue 12, p1607
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Early infantile epileptic encephalopathy or Ohtahara syndrome is the earliest form of the age-dependent epileptic encephalopathies. Its manifestations include tonic spasms, focal motor seizures, suppression burst pattern, pharmaco-resistance, and dismal prognosis. The purpose of this study was to evaluate the effectiveness of epilepsy surgery in selected infants. We identified 11 patients, 9 from the literature and 2 from our institution that fulfilled diagnostic criteria of Ohtahara syndrome and had undergone epilepsy surgery in infancy. Seven of the 11 infants have remained seizure free (Engel class IA) and four are reportedly having rare to infrequent seizures (Engel class IIB). All patients experienced “catch up” development. In contrast to Ohtahara's15 pharmacotherapy managed patients, who had a mortality rate of approximately fifty percent, and those that survived continued to have seizures and were severely impaired, the outcome of selected surgically managed patients is much more favorable.
ACCESSION #
91947847

 

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