Lesson learned from early experience in pediatric epilepsy surgery service in Surabaya, Indonesia
Indonesia is a large country with approximately 265 million people. About 70 millions people are at pediatric age.1 Until 2009, there is only one epilepsy surgery center in Indonesia, located at Semarang - Central Java, that performs surgery for mostly adult patients.2,3 In 2009, our center started...
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| Main Authors: | , , , , |
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| Format: | Article PeerReviewed |
| Language: | English English English |
| Published: |
Asean Neurology Association
2020
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| Online Access: | http://repository.unair.ac.id/99945/1/1.%20Lesson%20learned%20from%20early%20experience%20in%20pediatric%20epilepsy%20surgery%20service%20in%20sby%20Neurology%20Asia%202020.pdf http://repository.unair.ac.id/99945/2/Lesson%20Learned%20From%20Early.pdf http://repository.unair.ac.id/99945/3/Lesson%20learned%20from%20early%20experience%20in%20pediatric%20epilepsy%20surgery%20service%20in%20Surabaya%20Indonesia.pdf http://repository.unair.ac.id/99945/ https://www.neurology-asia.org/articles/neuroasia-2020-25(1)-089.pdf |
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| Institution: | Universitas Airlangga |
| Language: | English English English |
| Summary: | Indonesia is a large country with approximately 265 million people. About 70 millions people are at pediatric age.1 Until 2009, there is only one epilepsy surgery center in Indonesia, located at Semarang - Central Java, that performs surgery for mostly adult patients.2,3 In 2009, our center started to perform epilepsy surgery for children with epilepsy. This brief communication presents the development of the newly established pediatric epilepsy surgery center in Surabaya, Indonesia; the limitations and obstacles, the lesson learned from the early experience, and how we manage the difficulties. We reviewed medical records of all epilepsy surgery cases performed at Dr. Soetomo General Hospital Surabaya from 2009-2016. Pre-operative conference was employed with the team and the family. The team includes pediatric neurologist/epileptologist (PIG), neurosurgeons (WS, HS, MAP, and AT) and neuroradiologist. Pre-operative examination included semiology of the seizure, full neurologic examination, interictal scalp electroencephalography (EEG), brain magnetic resonance imaging (MRI), with specific attention to the area of suspected ictal onset. Surgical procedures were performed by the author (WS) with assistance by HS and AT. Pre-operative and post-operative treatment was by all authors. Regimen and dosing adjustment of anti-epileptic drugs (AED) was by neuropediatrician (PIG). Specimens from operative field were sent to pathology |
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