Whenever a therapy-refractory or difficult epilepsy is diagnosed – i.e. after unsuccessful treatment with two different medications – probability for a seizure-free life and thus an undisturbed neurologic and cognitive development is reduced. At this point, the team of neuropediatricians, pediatric neurosurgeons and neurologists discuss options for further diagnostic measures and invasive therapy by epilepsy surgery.
The options of epilepsy surgery range from highly selective, tailored resection of epileptic areas in the brain, disconnection of fibers in severe epilepsy syndromes to minimally-invasive vagal-nerve-stimulation (VNS therapy). VNS therapy is employed by stimulation of a peripheral nerve at the neck for treatment of severe epilepsy with s specialised “pace maker” without any intervention on the brain.
Conditions that may qualify for neurosurgical epilepsy therapy are e.g. tuberous sclerosis, Sturge-Weber syndrome, Lennox-Gastaut syndrome, temporal lobe epilepsy.
Additionally, in cooperation with Neurosurgeon of Adulthood, the entire range of functional neurosurgery can be offered including innovative frameless stereotactic deep-brain stimulation and baclofen pump therapy.
Questions about epilepsy surgery, spasticity and pain therapy, brachial plexus therapy and other neurosurgical conditions are answered in cooperation with colleagues of Neuropediatrics.
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After presentations at the Congress of the European Society for Pediatric Neurosurgery (ESPN) in Rome and the German Neurosurgical Society (DGNC), many new cooperations are in preparation and new therapeutic concepts are about to be integrated.
We aim to be always in concordance with the current state-of-the-art concepts as well as to participate in developing guidelines for the future.