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Dữ liệu của họ cho thấy một dẻo tăng tế bào thần kinh ở trẻ em, với một đề nghị của một cuộc tranh luận mạnh mẽ ủng hộ phẫu thuật sớm. Văn học xem xét lại cho thấy một sự thiếu hụt thông tin trên các resections thùy khác. Có rất ít nghiên cứu về hàng loạt postsurgical ở trẻ em với thùy trán và epilepsies sau (100) | 63 OUTCOME OF EPILEPSY SURGERY IN CHILDHOOD 805 recovery of memory deficits in children than in adults undergoing temporal lobectomy. Their data suggest an increased neuronal plasticity in childhood with a proposal of a strong argument in favor of early surgery. Literature review shows a dearth of information on other lobar resections. There are very few studies on post-surgical series in children with frontal lobe and posterior epilepsies 100 . Preoperative groups with frontal lobe epilepsy have deficits in the domain of executive functioning and motor coordination. Lendt et al 111 112 compared the one-year postsurgical cognitive profiles in groups of 12 children one group with temporal and the other with frontal lobe epilepsy. Both groups showed important gains in attention processing speed memory and bimanual coordination. Surgery did not lead to any additional impairment. The neuropsychologic profile in frontal lobe epilepsy 113 is akin to that of adults with frontal lobe lesions. Surgical outcome has no bearing on the postoperative neuropsychologic profile in children with frontal lobe epilepsy in both good- and poorseizure-outcome groups. Some gains albeit insignificant are made in the domain of motor coordination. Data from other studies lend weight to offering surgery to suitable candidates as the benefits from epilepsy surgery far outweigh the risks of inflicting minor deficits in the form of working memory and visual constructional skills 114 115 . The posterior epilepsies are relatively rare in children. In terms of cognition the posterior cortex plays an important role in attention and visuoconstructional abilities 116 117 . In general the group of patients with posterior epilepsies 100 has a low IQ compared to groups of temporal or frontal lobe epilepsy. The deficit is especially in the domain of visuoconstruction performance also of note is the fact that the effects are even more disabling in children with early-onset damage to the posterior cortex. .
