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Tumor-Related Epilepsy in Children

Section of Child Neurology, Department of Neurology

Bhuwan P. Garg, MBBS

Section of Child Neurology, Department of Neurology

Vicenta Salanova, MD

Section of Neurophysiology, Department of Neurology

Joel C. Boaz, MD

Section of Neurosurgery, Department of Surgery Indiana University School of Medicine Indianapolis, Indiana

Thomas G. Luerssen, MD

Section of Neurosurgery, Department of Surgery Indiana University School of Medicine Indianapolis, Indiana

John E. Kalsbeck, MD

Section of Neurosurgery, Department of Surgery Indiana University School of Medicine Indianapolis, Indiana

A 10-year retrospective review of 15 children with cerebral tumors and seizures was conducted to study the factors responsible for delay in the diagnosis of tumors and to assess outcome following surgery. Mean duration of seizures prior to surgery was 37 months. Ninety-three percent had no focal neurologic deficits. Head computed tomography was abnormal in 64%, whereas magnetic resonance imaging was abnormal in all patients. Electroencephalography showed focal abnormalities ipsilateral to the tumor in 73%. There was no surgical mortality. Eighty percent were seizure free or had rare seizures following surgery. Factors contributing to a delayed diagnosis of the brain tumor included a nonfocal neurologic examination and delay in obtaining an appropriate neuroimaging study. We believe that head magnetic resonance imaging should be the investigation of choice in partial epilepsies. (J Child Neurol 2000;15: 141-145).

Journal of Child Neurology, Vol. 16, No. 2, 141-145 (2001)
DOI: 10.1177/088307380101600216


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