Table Of ContentLong-Term Outcomes 
of Epilepsy Surgery 
in Adults and Children
Kristina Malmgren
Sallie Baxendale
J. Helen Cross   
Editors
123
Long-Term Outcomes of Epilepsy Surgery 
in Adults and Children
Kristina   Malmgren     (cid:129)      Sallie   Baxendale    
   J.   Helen   Cross     
 Editors 
  Long-Term Outcomes 
of Epilepsy Surgery 
in Adults and Children
Editors 
   Kristina   Malmgren       J.   Helen   Cross   
  Sahlgrenska University Hospital and    UCL-Institute of Child Health 
Institute of Neuroscience and Physiology   Great Ormond Street Hospital for 
 Department of Clinical Neuroscience and  Children London and Young Epilepsy 
Rehabilitation Sahlgrenska Academy at    Lingfi eld   Surrey 
Gothenburg University   UK   
  Gothenburg 
 Sweden   
   Sallie   Baxendale   
  Department of Clinical 
and Experimental Epilepsy 
 National Hospital for Neurology 
and Neurosurgery 
  London 
 UK   
  ISBN 978-3-319-17782-3          ISBN 978-3-319-17783-0  (eBook) 
 DOI 10.1007/978-3-319-17783-0  
 Library of Congress Control Number: 2015941279 
 Springer Cham Heidelberg New York Dordrecht London 
 © Springer International Publishing Switzerland   2015 
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Contents 
    1      Why a Volume on Long-Term Outcomes of Epilepsy Surgery? . . . . . . .   1   
    Kristina   Malmgren    ,     Sallie   Baxendale    , and     J.   Helen   Cross    
     2      Methodological Demands on Observational Studies 
of Outcomes After Epilepsy Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  5    
    Ettore   Beghi    
     3      Long-Term Seizure and Antiepileptic Drug Outcomes 
After Epilepsy Surgery in Adults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   19   
    Kristina   Malmgren    ,     Anna   Edelvik    , and     John   S.   Duncan    
 4  Long-Term Seizure and Antiepileptic Drug Outcomes 
After Epilepsy Surgery in Children . . . . . . . . . . . . . . . . . . . . . . . . . . . .  43
Evan Cole Lewis and Michael Duchowny
     5      Long-Term Cognitive Outcomes After Epilepsy Surgery in Adults. . . .   71   
    Sallie   Baxendale    
     6      Long-Term Cognitive Outcomes After Epilepsy 
Surgery in Children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   85   
    Torsten   Baldeweg     and     Caroline   Skirrow    
     7      Long-Term Psychiatric Outcomes After Epilepsy 
Surgery in Adults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   103   
    Andres   M.   Kanner    
     8      Long-Term Psychiatric and Behavior Outcomes 
in Children Following Epilepsy Surgery . . . . . . . . . . . . . . . . . . . . . . . .   115   
    Ailsa   McLellan    
     9      Mortality After Epilepsy Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   125   
    Torbjörn   Tomson    
     10      Long-Term Educational and Vocational Outcomes 
of Adults After Epilepsy Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   135   
    Sarah   J.   Wilson     and     Honor   Coleman    
v
vi Contents
     11      Educational and Employment Outcomes Following Epilepsy 
Surgery in Childhood . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   151   
    Caroline   Skirrow     and     Torsten   Baldeweg    
     12      Quality-of-Life Outcomes in Adults Following Epilepsy Surgery . . .   165   
    Jana   E.   Jones     and     Melissa   Hanson    
     13      Quality of Life and Psychosocial Outcomes in Children 
Following Epilepsy Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   193   
    Mary   Lou   Smith     and     Klajdi   Puka    
     14      Subjective Experiences of Epilepsy Surgery in Adults . . . . . . . . . . . .   209   
    Kristina   Malmgren    ,     Anneli   Ozanne    , and     Sarah   J.   Wilson    
     15      Subjective Experiences of Children and Parents 
After Epilepsy Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   225   
    Siobhan   Hannan    
     16      Informed Consent for Epilepsy Surgery . . . . . . . . . . . . . . . . . . . . . . . .   233   
    Ying   Meng     and     George   M.   Ibrahim    
     17      Managing Expectations of Epilepsy Surgery . . . . . . . . . . . . . . . . . . . .   243   
    Sallie   Baxendale    
     18      Health Economic Analyses of Epilepsy Surgery . . . . . . . . . . . . . . . . .   255   
    Nathalie   Jetté     and     Samuel   Wiebe    
     19      Long-Term Outcomes of Epilepsy Surgery: Knowledge 
Gaps and Future Directions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   269   
    Kristina   Malmgren    ,     Sallie   Baxendale    ,     J.   Helen   Cross    , 
and     Philippe   Ryvlin     
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  277
Contributors 
     Torsten     Baldeweg  ,   MD        Cognitive Neuroscience and Neuropsychiatry Section, 
Developmental Neurosciences Division ,  Institute of Child Health, 
University College London  ,  London ,  UK   
  Section of Cognitive Neuroscience and Neuropsychiatry, Great Ormond Street 
Hospital NHS Trust  ,  London ,  UK     
      Sallie     Baxendale  ,   PhD, C.Psychol, AFBPsS        Department of Clinical 
and Experimental Epilepsy ,  National Hospital for Neurology 
and Neurosurgery  ,  London ,  UK     
      Ettore     Beghi  ,   MD        Laboratorio di Malattie Neurologiche, 
Department of Neuroscienze ,  IRCCS-Istituto di Ricerche Farmacologiche 
“Mario Negri”  ,  Milan ,  Italy     
      Honor     Coleman        Melbourne School of Psychological Sciences , 
 The University of Melbourne  ,  Melbourne ,  VIC ,  Australia     
      J.     Helen     Cross  ,   MB ChB, PhD, FRCP, FRCPCH        Section of Clinical 
Neuroscience, UCL-Institute of Child Health, Great Ormond Street Hospital & 
Young Epilepsy  ,  London ,  UK     
      Michael     Duchowny  ,   MD        Comprehensive Epilepsy Program ,  Neurology 
and the Brain Institute, Miami Children’s Hospital  ,  Miami ,  FL ,  USA     
      John     S.     Duncan  ,   MA, DM, FRCP, FMedSci        Department of Epilepsy , 
 National Hospital for Neurology and Neurosurgery  ,  London ,  UK     
      Anna     Edelvik  ,   MD        Department of Clinical Neuroscience and Rehabilitation , 
 Institute of Neuroscience and Physiology, Sahlgrenska Academy, Gothenburg 
University  ,  Gothenburg ,  Sweden   
  Department of Neurology,   Sahlgrenska University Hospital  ,  Gothenburg ,  Sweden     
      Siobhan     Hannan  ,   RN, RSCN, MSc, INP        Paediatric Neurology ,  Chelsea 
and Westminster Hospital NHS Foundation Trust  ,  London ,  UK     
vii
viii Contributors
      Melissa     Hanson  ,   BS        Department of Neurology ,  University of Wisconsin 
School of Medicine and Public Health  ,  Madison ,  WI ,  USA     
      George     M.     Ibrahim  ,   MD, PhD        Division of Neurosurgery, Department 
of Surgery ,  University of Toronto  ,  Toronto ,  ON ,  Canada   
  Institute of Medical Science, University of Toronto  ,  Toronto ,  ON ,  Canada   
  Division of Neurosurgery,   The Hospital for Sick Children  ,  Toronto , 
 ON ,  Canada     
      Nathalie     Jetté  ,   MD, MSc        Department of Clinical Neurosciences , 
 Foothills Medical Centre, University of Calgary  ,  Calgary ,  AB ,  Canada     
      Jana     E.     Jones  ,   PhD        Department of Neurology ,  University of Wisconsin 
School of Medicine and Public Health  ,  Madison ,  WI ,  USA     
      Andres     M.     Kanner ,    MD, FANA        Department of Neurology ,  Miller School 
of Medicine, University of Miami  ,  Miami ,  FL ,  USA     
      Evan     Cole     Lewis  ,   MD, FRCPC        Department of Neurology ,  Miami Children’s 
Hospital  , M  iami ,  FL ,  USA     
      Kristina     Malmgren  ,   MD, PhD        Department of Clinical Neuroscience and 
Rehabilitation,   Institute of Neuroscience and Physiology, Sahlgrenska Academy, 
Gothenburg University  ,  Gothenburg ,  Sweden   
  Department of Neurology,   Sahlgrenska University Hospital  , 
 Gothenburg ,  Sweden     
      Ailsa     McLellan  ,   MBChB, FRCP, FRCPCH        Paediatric Neurosciences , 
 Royal Hospital for Sick Children  ,  Edinburgh ,  Scotland, UK     
      Ying     Meng  ,   BASc, MD        Division of Neurosurgery, Department of Surgery , 
 Toronto Western Hospital, University of Toronto  ,  Toronto ,  ON ,  Canada     
      Anneli     Ozanne  ,   PhD        Institute of Health Care Sciences ,  The Sahlgrenska 
Academy, University of Gothenburg  ,  Gothenburg ,  Sweden     
      Klajdi     Puka  ,   HBSc        Department of Psychology ,  The Hospital for Sick 
Children  ,  Toronto ,  ON ,  Canada     
      Philippe     Ryvlin  ,   MD, PhD        Department of Clinical Neurosciences , 
 Centre Hospitalo-Universitaire Vaudois  ,  Lausanne ,  Switzerland     
      Caroline     Skirrow  ,   PhD        Cognitive Neuroscience and Neuropsychiatry 
Section, Developmental Neurosciences Division , 
 Institute of Child Health, University College London  ,  London ,  UK   
  Section of Cognitive Neuroscience and Neuropsychiatry, Great Ormond Street 
Hospital NHS Trust  ,  London ,  UK
Contributors ix
      Mary     Lou     Smith  ,   PhD        Department of Psychology ,  The University 
of Toronto  ,  Toronto ,  ON ,  Canada   
  Neurosciences and Mental Health Program,   The Hospital for Sick Children  , 
 Toronto ,  ON ,  Canada   
  Department of Psychology,   The Hospital for Sick Children  ,  Toronto ,  ON ,  Canada     
      Torbjörn     Tomson  ,   MD, PhD        Department of Clinical Neuroscience , 
 Karolinska Institutet  ,  Stockholm ,  Sweden   
  Department of Neurology,   Karolinska University Hospital  , 
 Stockholm ,  Sweden     
      Samuel     Wiebe  ,   MD, MSc        Department of Clinical Neurosciences , 
 Foothills Medical Centre, University of Calgary  ,  Calgary ,  AB ,  Canada     
      Sarah     J.     Wilson  ,   PhD        Melbourne School of Psychological Sciences , 
 The University of Melbourne  ,  Melbourne ,  VIC ,  Australia   
  Comprehensive Epilepsy Program,   Austin Health  ,  Melbourne ,  VIC ,  Australia
Description:This book provides a comprehensive, rigorous review of the long-term outcome literature in epilepsy surgery in both adults and children. Each chapter examines the long-term outcome literature in a separate domain; covering seizure control, social, vocational/educational and psychiatric outcomes. Beh