Abstract
Surgical treatment of epilepsy represents an important therapeutic option in patients with drug-resistant epilepsy. At Departmentof Paediatric Neurology, Motol Epilepsy Center, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospitalpaediatric epilepsy surgery has been practiced since 2000.
Up to 1st November 2017 263 surgeries in 232 patients have beenperformed. This article aims to summarize essential principles both epilepsy surgery and preoperative diagnostic work-up as wellas results of our paediatric epilepsy surgery programme including recent trends. 80,7 % children in our series are seizure-free at 2year follow-up.
Candidates undergoing early surgery have better chance gaining both seizure and AED freedom and (in children)their cognitive potential is more likely to be preserved.