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Long-term socioeconomic outcome following surgical intervention in the treatment of refractory epilepsy in childhood and adolescence.
- Source :
-
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 1998 Aug; Vol. 14 (8), pp. 362-5. - Publication Year :
- 1998
-
Abstract
- Surgical treatment of refractory epilepsy in childhood and adolescence has been shown to be effective in reducing the seizure frequency. This paper examines the question: "Does this result in a better socioeconomic outcome in later years?" Patients who underwent a surgical procedure for the treatment of their medically refractory epilepsy at our hospital, had more than 2-years' follow-up, and were less than 18 years old at time of survey were included. From a retrospective chart review, age at onset and at surgery, duration of seizures prior to surgery, years of follow-up, type of surgery, and neurological status were obtained. From a telephone survey, seizure frequency after surgery, marital, financial and driving status, level of education, and employment status were ascertained. Sixty-four patients in our epileptic surgical series meet entry criteria. Significantly higher levels of education, employment status and independence were found in patients with a class I Engel outcome compared to other Engel outcomes.
- Subjects :
- Adolescent
Adult
Automobile Driving
Child
Child, Preschool
Education statistics & numerical data
Epilepsy economics
Female
Humans
Infant
Interviews as Topic
Male
Marital Status
Ontario
Quality of Life
Socioeconomic Factors
Treatment Outcome
Activities of Daily Living
Employment statistics & numerical data
Epilepsy surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0256-7040
- Volume :
- 14
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 9753401
- Full Text :
- https://doi.org/10.1007/s003810050245