Surgical treatment for temporal lobe tumors presenting as epilepsy in children

LI Yan-wen; ZHOU Dong; WANG Peng; ZHAN Sheng-quan; LI Zhao-jie

Abstract：Objective To investigate the pathological results,surgical plans and treatment outcomes of temporal lobe tumors presenting as epilepsy in children.Methods The clinical data such as pathological results,surgical proce-dures and treatment outcomes of 34 pediatric patients,who presented with epilepsy due to temporal lobe tumors,were ret-rospectively analyzed.Results The pathology of the tumor confirmed the diagnosis of dysembryoplastic neuroepithelial tumors in 15 patients,gangliogliomas in 10 patients,angiocentric glioma in 3 patients,astrocytoma in 3 patients,pilocytic astrocytoma in 2 patients,and malignant tumor in 1 patient.The tumor was totally resected in 32 patients,and partly re-sected in 2.Tumor recurrence was seen in only 1 patient whose pathology was malignant tumor.Post-operative Engel As-sessment demonstrated Grade 1 in 21 cases,Grade 2 in 11,and Grade 3 in 2.A total of 32 cases were effectively treated,with an effective rate of 94.1%.Conclusion Temporal lobe tumors presenting as epilepsy in children were mostly benign with good prognosis of surgical treatments.Proper choice of surgical plans based on tumor pathology and using intraopera-tive cortical EEG monitoring were the effective treatment for epilepsy.