Letter to the Editor. A new technique for stroke-induced refractory epilepsy

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TO THE EDITOR: We read with great interest Scavarda et al.’s2 description of a new disconnection technique guided by stereoelectroencephalography (SEEG) for stroke-induced refractory epilepsy (Scavarda D, Cavalcante T, Trébuchon A, et al: Tailored suprainsular partial hemispherotomy: a new functional disconnection technique for stroke-induced refractory epilepsy. J Neurosurg Pediatr 22:601–609, December 2018). The procedure was performed on 6 patients and resulted in a postoperative Engel class IA outcome (mean follow-up of 28 months).

We would like to express some criticisms on the rationale behind the choice of the surgical procedure. Vascular problems sustained in

Article Information

Correspondence Roy Thomas Daniel: roy.daniel@chuv.ch.

INCLUDE WHEN CITING Published online February 8, 2019; DOI: 10.3171/2018.11.PEDS18655.

Disclosures The authors report no conflict of interest.

© AANS, except where prohibited by US copyright law.

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References

1

Englot DJHan SJRolston JDIvan MEKuperman RAChang EF: Epilepsy surgery failure in children: a quantitative and qualitative analysis. J Neurosurg Pediatr 14:3863952014

2

Scavarda DCavalcante TTrébuchon ALépine AVilleneuve NGirard N: Tailored suprainsular partial hemispherotomy: a new functional disconnection technique for stroke-induced refractory epilepsy. J Neurosurg Pediatr 22:6016092018

3

Taylor IScheffer IEBerkovic SF: Occipital epilepsies: identification of specific and newly recognized syndromes. Brain 126:7537692003

4

Thomas SGDaniel RTChacko AGThomas MRussell PS: Cognitive changes following surgery in intractable hemispheric and sub-hemispheric pediatric epilepsy. Childs Nerv Syst 26:106710732010

5

Villemure JGDaniel RT: Peri-insular hemispherotomy in paediatric epilepsy. Childs Nerv Syst 22:9679812006

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