Cirugía de epilepsia en pacientes pediátricos con epilepsia refractaria y su efecto en la calidad de vida, en el Hospital de Niños Dr. Roberto Gilbert Elizalde en el periodo mayo 2014 - diciembre 2020.

Abstract

Introduction: Epilepsy Surgery has been applied around the world as a treatment for Drug Resistant Epilepsy. In the country there are few studies related to this type of treatment in children. The objective of this work is to describe the effect of Surgery on the frequency of epileptic seizures and the quality of life in pediatric patients. Methods: An observational, retrospective, cross-sectional and descriptive study was carried out in a population that included 31 pediatric patients diagnosed with refractory epilepsy who underwent epilepsy surgery at the Roberto Gilbert Elizalde Hospital between May 2014 and December 2020, in whom applied the Engel scale and the CAVE quality of life scale. Results: Of the 31 patients, it was evidenced that according to the Engel Scale, 38.7% were free or almost free of seizures (Class I and II), 45.2% presented significant clinical improvement (Class III) and 16.1% without clinical improvement. (Class IV), at the end of one year post surgery. 45.2% of the patients had a very poor quality of life before surgery (CAVE Scale), while in the postoperative period the “very bad” category decreased to 16.1%; and 29% achieved a "good" quality of life. Conclusions: Patients treated with epilepsy surgery after one year of treatment presented clinical improvement according to the Engel Scale (I, II, III) and in their quality of life according to CAVE, reaching the "good" category.