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|Year : 2019 | Volume
| Issue : 5 | Page : 1399-1400
Pediatric Epilepsy Surgery: Preoperative Assessment and Surgical Treatment, Second Edition
P Sarat Chandra
Head of Unit I, Department of Neurosurgery, AIIMS, New Delhi, India
|Date of Web Publication||19-Nov-2019|
P Sarat Chandra
Head of Unit I, Department of Neurosurgery, AIIMS, New Delhi
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Chandra P S. Pediatric Epilepsy Surgery: Preoperative Assessment and Surgical Treatment, Second Edition. Neurol India 2019;67:1399-400
Author : Dr. Oguz Cataltepe, Dr. George I. Jallo
Foreword by M Gazi Yasargil
Edition : 2
Publisher : Thieme
It gives me a distinct pleasure to provide a book review for this worthy monogram, not just because I have contributed towards two chapters in this book, but more for the fact that this book is perhaps one of the first of its kind providing an in-depth knowledge on a complete spectrum on pediatric epilepsy surgery right from preoperative assessment till the postoperative management.
Pediatric epilepsy surgery holds several unique challenges. Apart from the usual challenges associated with surgery for children such as hypothermia and blood loss, surgery for drug-resistant epilepsy has several unique features. First, congenital etiologies form the most important substrates for causing epilepsy. Second, the EEG and other preoperative localization strategies may show a diffuse pattern despite the patient having well-defined lesions. Third, cognitive decline is an additional important factor to be considered for surgery in children apart from the seizures. A recent randomized controlled trial contributed by us for evaluating surgery for drug-resistant epilepsy in children has shown that children who underwent early surgery benefitted both by reduction or disappearance of seizures and by significant improvement in cognitive functions when compared with children who were continued with best medical therapy.
The book itself is divided conveniently into various parts, Part I consisting of Introduction to Epilepsy in children followed by a part on Preoperative Assessment and then followed by Surgical Anatomy and Mapping Techniques, Temporal Lobe Epilepsy and Surgical Approaches, Extra-temporal Epilepsy and Surgical Approaches, Hemispheric Surgery Techniques, Other Disconnective Procedures, Neuromodulation Procedures, Radiosurgery and Ablative Procedures, and finally followed by Postoperative Course and Outcome.
Like all contemporary textbooks, the book consists of a series of excellent surgical videos available online. For those taking a hardbound book, a CD is being provided.
An excellent Foreword to the book is provided by none other than Prof. Yasargil. In a very interesting anecdote, he recalls the first day of his professional career as a neurosurgeon (4th January, 1953), where Prof. Krayenbuhl performs a temporal lobectomy in a patient with epilepsy. The EEG recordings intraoperatively was performed by Prof. Hess who went on telling the surgeon that there were “Still spikes around …” till he happily concluded that “No more spikes.” Prof. Yasargil still recalls the statement made by his teacher Prof. Krayenbuhl “The treatment of epilepsy is an obligation for neurosurgery,” a fact which still holds even more true today despite discovery of so many newer antiepileptic drugs.
The introductory chapters have all the interesting things that a serious reader would like to know including a nice chapter on history, along with chapters on epidemiology, genetics, neuropathology, plasticity of brain, and epileptic encephalopathy.
The preoperative assessment session has several important chapters on video EEG, SEEG, and magnetoencephalography. The section on imaging is particularly interesting, particularly the chapter on multimodal imaging and coregistration. This is followed by an exhaustive section on surgical anatomy and mapping techniques. It is of interest that there are centers that still find Wada useful for presurgical assessment of pediatric epilepsy. A nice section on anesthetic considerations which have been provided is particularly useful.
Following the introductory chapters, various surgical techniques have been dealt in a very systemic manner starting with temporal, extratemporal, hemispheric, and other surgical modalities. Contributions of these chapters have been made by authors who have done significant work in this field or those who have contributed in an original manner to develop these technqiues. There are some unique chapters dealing with newer techniques which include tailored extratemporal resections, laser interstitial thermal therapies, cortical and deep brain stimulation, and the recent endoscopic techniques for hemispherotomy and corpus callostomy. The chapter on vagal nerve stimulation though interesting does not add much to the existing literature.
Finally, the authors were right in adding a chapter on surgical failure, postoperative seizure control, and postoperative neuropsychological and psychosocial outcome.
While I could not obviously read the entire book exhaustively before writing this review, I did end up concluding that this would be an essential knowledge access source for every neurosurgeon interested in pediatric epilepsy.
I would like to applaud the authors in taking up this mammoth task in finally bringing out this book which was long due.
| » References|| |
Cataltepe O, Jallo GI. Pediatric Epilepsy Surgery. USA: Thieme; 2019.
Dwivedi R, Ramanujam B, Chandra PS, Sapra S, Gulati S, Kalivani M, et al
. Surgery for drug-resistant epilepsy in children. N
Engl J Med 2017;377:1639-47.