Focal epilepsy inSCN1A-mutation carrying patients: is there a role for epilepsy surgery?
Aikaterini Vezyroglou, Sophia Varadkar, Thomas Bast, Edouard Hirsch, Karl Strobl, A Simon Harvey, Ingrid E Scheffer, Sanjay M Sisodiya, J Helen Cross
Developmental Medicine and Child Neurology | WILEY | Published : 2020
Variants in the gene SCN1A are a common genetic cause for a wide range of epilepsy phenotypes ranging from febrile seizures to Dravet syndrome. Focal onset seizures and structural lesions can be present in these patients and the question arises whether epilepsy surgery should be considered. We report eight patients (mean age 13y 11mo [SD 8y 1mo], range 3-26y; four females, four males) with SCN1A variants, who underwent epilepsy surgery. Outcomes were variable and seemed to be directly related to the patient's anatomo-electroclinical epilepsy phenotype. Patients with Dravet syndrome had unfavourable outcomes, whilst patients with focal epilepsy, proven to arise from a single structural lesion..View full abstract