[The dynamics of temporal lobe epilepsy manifestations and the social-occupational prognosis in children following surgical removal of the epileptic focus].
The authors conducted a follow-up study of 28 children with temporal epilepsy who had undergone an anterior temporal lobectomy performed at the age of 4-13 years. Besides, a discontinuation of convulsive seizures in almost all of the cases there was an improvement in the social adjustment: 25 of 28 children could go to school for the first time or renew their studies, whereas before the operation 7 children could not study, because of frequent seizures and behavioral disturbances. Following 2-10 years after the surgical operation II of the patients were still studying at school or in vocational schools and 12 of them were working. Not being able to study was I child of school age, and 4 patients older than 18 years were incapacitated. Surgical treatment of epilepsy in childhood was more effective than in adults.