Epilepsy Surgeryenparentshttps://kidshealth.org/EN/images/headers/Epilepsy_Surgery_enHD_1.jpgEpilepsy surgery is an operation done on the brain to reduce or stop seizures.epilepsy, seizures, surgery, epilepsy surgery, epilepsy treatment, treating epilepsy, surgery for epilepsy, wada testing, neurosurgeon, corpus callostomy, brain surgeon, electrical brain mapping, corpus collosum, brain surgery, resective surgery, neurology, siezures, central nervous system, seesures, seezures, seeshures, sesures, meningitis, encephalitis, idiopathic, generalized seizures, partial seizures, brain, brains, brain problems, fits, shaking, postictal phase, ketogenic diet, ketogenic, electrical signals, vagal nerve stimulators, vagal, breakthrough seizures, neurologists, neurology,, CD1Neurosurgery, CD1Epilepsy, CD1Neurology08/22/201709/17/201909/17/2019KidsHealth Medical Experts10/14/201762a50c44-d6c5-44e2-b4d2-697d4d8aa46chttps://kidshealth.org/ws/RadyChildrens/en/parents/epilepsy-surgery.html/<h3>What Is Epilepsy Surgery?</h3> <p>Epilepsy surgery is an operation done on the brain to reduce or stop <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/seizure.html/">seizures</a>.</p> <h3>Why Is Epilepsy Surgery Done?</h3> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/epilepsy.html/">Epilepsy</a> surgery is done when a child's seizures aren't controlled by medicine or other treatments. The surgery is designed to stop all the seizures or, at least, to make them happen less often.</p> <p>After surgery, some kids can stop taking their seizure medicine, but most just take less medicine.</p> <h3>What Are the Kinds of Epilepsy Surgery?</h3> <p>Epilepsy surgeries include resective surgery and corpus callostomy:</p> <p>In <strong>resective surgery</strong>, the area of the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/brain-nervous-system.html/">brain</a> causing the seizures is taken out. Sometimes, this is only a tiny piece of brain; other times, a larger part of the brain is removed.</p> <p>In <strong>corpus callostomy</strong>, the corpus callosum is cut. The corpus callosum is the connection between the two sides of the brain, which lets them communicate with each other. If it's cut, a seizure that starts on one side of the brain can't spread to the other side.</p> <h3>What Happens Before Epilepsy Surgery?</h3> <p>Tests are done by a neurologist who specializes in epilepsy (an <strong>epileptologist</strong>) to pinpoint where in the brain the seizures begin. Then, in a group meeting (called the Epilepsy Surgery Conference), epileptologists, other neurologists, neurosurgeons, and neuropsychologists discuss the case to decide on the best surgical approach.</p> <p>Testing may include:</p> <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/ct-head.html/">CAT scan</a>, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/mri-brain.html/">MRI</a>, and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/pet-mri.html/">PET/MRI</a> to look inside the brain</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/eeg.html/">EEG</a>, or electroencephalography, to see brain waves/electrical activity in the brain</li> <li><strong>wada testing</strong>, which uses medicine injected through an artery into the brain to look at which side of the brain controls language and memory. Nowadays, this has largely been replaced with functional MRI, which is less invasive, but requires the child to do a language and memory task.</li> <li><strong>electrical brain mapping</strong>, where electrodes are placed on or inside the brain during the first part of a two-part surgery. This shows where seizures happen and what the nearby parts of the brain do. Sometimes, this is done all in one stage rather than two.</li> </ul> <h3>What Happens During Epilepsy Surgery?</h3> <p>Hair around the incision might be shaved to reduce chances of infection. Your child will get general <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/anesthesia-types.html/">anesthesia</a> to make your child feel like he or she is sleeping and ensure that there's no pain during the surgery.</p> <p>The neurosurgeon will take out a small part of the skull (called a <strong>craniotomy</strong>) to expose the brain. Then, depending on the type of surgery, he or she will either remove part of the brain or cut the corpus callosum. When finished, the skull bone is put back so it can heal.</p> <p>Most open epilepsy surgeries last 3&ndash;4 hours.</p> <h3>What Happens After Epilepsy Surgery?</h3> <p>After epilepsy surgery, your child will go to a special recovery area called a PACU (post-anesthesia care unit) for a few hours until the anesthesia wears off.</p> <p>Depending on the surgery, your child may spend the first night in a special intensive care unit, then transfer to a neurosurgical unit for the rest of the stay.</p> <p>Most children go home 3&ndash;4 days after the surgery. It takes about 3&ndash;4 weeks to recover fully from epilepsy surgery.</p> <h3>Are There Any Risks From Epilepsy Surgery?</h3> <p>As with any surgery, there are risks, such as infection, bleeding, brain swelling, or complications from anesthesia.</p> <p>Other risks depend on what kind of surgery your child had. These risks include increased seizures or changes in speech, vision, memory, language, or movement. The epileptologist and neurosurgeon will talk to you about your child's specific surgery.</p> <h3>How Can I Help My Child?</h3> <p>It's important to help <a class="kh_anchor">prepare your child</a> for surgery. Kids of all ages cope much better if they have an idea of what's going to happen and why.</p> <p>Use simple, calming words to explain the reason for the surgery. Talk about the medical problem and why surgery is necessary. Depending on your child's age, you can talk a bit about the surgery and the recovery period. Your doctor can recommend age-appropriate books, articles, and other resources that can help.</p> <p>After the surgery, your child will be sleepy and need rest. You can help by limiting visitors and visiting hours.</p> <p>Your child will need medical follow-up and may need <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/phys-therapy.html/">physical therapy</a> or <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/speech-therapy.html/">speech-language therapy</a> after leaving the hospital. Schedule all follow-up appointments as recommended by the doctor.</p> <h3>When Should I Call the Doctor?</h3> <p>At home, your child will need care as he or she heals.</p> <p>Call the doctor right away if your child has:</p> <ul> <li>a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/fever.html/">fever</a> above 101&deg;F (38.3&deg;C)</li> <li>swelling or redness at the incision site</li> <li>fluid leaking from the incision</li> <li>severe headaches</li> <li>nausea or vomiting</li> </ul>Cirugía de la epilepsiaLa cirugía de la epilepsia es una operación que se hace en el cerebro para reducir o detener las convulsiones epilépticas.https://kidshealth.org/ws/RadyChildrens/es/parents/epilepsy-surgery-esp.html/ba9ef2ab-6c5c-4324-835e-abad999b021a
Brain and Nervous SystemIf the brain is a central computer that controls all the functions of the body, then the nervous system is like a network that relays messages back and forth to different parts of the body. Find out how they work in this Body Basics article.https://kidshealth.org/ws/RadyChildrens/en/teens/brain-nervous-system.html/cf28c686-fa8f-42b5-8561-a79ea70cf18c
EpilepsySeizures are a common symptom of epilepsy, a condition that affects millions of people worldwide. Learn all about epilepsy, including what to do if you see someone having a seizure.https://kidshealth.org/ws/RadyChildrens/en/teens/epilepsy.html/85df049a-dc59-41a5-b92c-421ea2d711be
Intractable EpilepsyIntractable epilepsy is when a child's seizures can't be controlled by medicines. Doctors may recommend surgery or other treatments for intractable seizures.https://kidshealth.org/ws/RadyChildrens/en/parents/intractable-epilepsy.html/b8735f52-1cd8-4dc4-9c1e-b0af479bdac5
Juvenile Myoclonic EpilepsyKids with juvenile myoclonic epilepsy (JME) have one or more of several different kinds of seizures, which begin around the age of puberty.https://kidshealth.org/ws/RadyChildrens/en/parents/juvenile-myoclonic-epilepsy.html/f594267f-fabd-48e1-95b8-45e3483b107a
Lennox-Gastaut SyndromeLennox-Gastaut syndrome (LGS) is a seizure disorder. Children with LGS have several different kinds of seizures.https://kidshealth.org/ws/RadyChildrens/en/parents/lennox-gastaut-syndrome.html/f8ee7add-7856-4bc1-ab1a-33a0acd90bd3
PET/MRI ScanA PET/MRI scan is an imaging test that combines PET and MRI in one session. It creates very detailed pictures of the inside of the body. https://kidshealth.org/ws/RadyChildrens/en/parents/pet-mri.html/bb266abc-6708-495f-8b79-8b21b1477b5e
SeizuresSeizures are caused by a sudden surge of electrical activity in the brain. Find out what you need to know about seizures and what to do if your child has one.https://kidshealth.org/ws/RadyChildrens/en/parents/seizure.html/17184860-dea1-4cd4-95ba-3cf34539cd44
Temporal Lobe EpilepsyKids with temporal lobe epilepsy (TLE) have seizures that start in one of the temporal lobes of the brain. Seizures usually get better with medicine.https://kidshealth.org/ws/RadyChildrens/en/parents/temporal-lobe-epilepsy.html/a45446cb-f4f8-4aa6-a259-9248db76f764
What's It Like to Have Surgery?Knowing what to expect with surgery before you get to the hospital can make you less anxious about your surgical experience - and less stress helps a person recover faster.https://kidshealth.org/ws/RadyChildrens/en/teens/having-sugery.html/117c4932-0a0c-4f8c-9543-01c811326e9a
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-neurosurgerykh:genre-articlekh:primaryClinicalDesignation-neurologyWhen Your Child Has Surgeryhttps://kidshealth.org/ws/RadyChildrens/en/parents/system/surgery/bf0ccfe3-e844-44b9-bf7e-d3e2a660e40aMedical Procedureshttps://kidshealth.org/ws/RadyChildrens/en/parents/system/med-procedures/fa1ed819-e226-441d-aae1-0dfd71b557c4Brain & Nervous Systemhttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/brain/d6b00a11-9db0-403c-bc41-00bcdf022537