19815 Bay Branch Rd
Andalusia, Alabama 36420
(334) 222-2523
HELPLINE: 1-877-530-0002



Facebook    

 

SCAMHC is an approved Mental Health site for the National Health Service Corps Loan Repayment program.  Find out the program details and see if you qualify by visiting: http://nhsc.hrsa.gov/

SCAMHC is an Equal Opportunity Provider and Employer and maintains a Drug-Free Workplace.

SCAMHC serves all individuals regardless of inability to pay. Discounts for essential services are offered based on family size and income. For more information, contact (334) 222-2523 or our 24/7 Helpline at 1-877-530-0002.

 

 


powered by centersite dot net
Child & Adolescent Development: Overview
Resources
Basic InformationMore InformationLatest News
Social Media, Binge Eating Often Go Together for KidsStressed and Distracted, Kids and Their Teachers Say Virtual Learning Isn't WorkingSports Position Doesn't Affect Risk of Concussion-Linked CTE IllnessPandemic Putting Added Strain on Parents of Kids With CancerDogs and Kids Are 'In Sync,' Study ShowsTeachers Main Drivers of School COVID Outbreaks, So Vaccinations Needed: StudyTips to Keep Young Athletes Injury-FreeMental Illness in Childhood Could Mean Worse Physical Health Decades LaterKids' Robust Immune Systems May Shield Them From COVID-19: StudyFertility Treatments Might Affect Kids' Growth, But Not for LongMom's Heart Health While Pregnant Could Influence Her Child's Health for YearsPandemic Has Affected Kids' Dental Health: PollNew Rabies Prevention Treatment Also Works in Kids: StudyWhen Will Kids Get the COVID Vaccines?U.S. Schools Can Reopen, With Safeguards in Place: CDCFetal Surgery Is Changing Lives for Kids With Spina BifidaKids Who Got Flu Shot Had Milder COVID Symptoms: StudyVery Little Spread of Coronavirus at Kids' Day Camps: StudyWhen Kids Misbehave, 'Verbal Reasoning' Can Sometimes BackfireVaccines Saved 37 Million Lives, Mostly Children, Over Past Two DecadesAnchor It! Toppling TVs, Furniture Can Injure and Kill KidsWhy Do Black Children Get Fewer Scans When They're Seen in ERs?Pandemic May Be Affecting How Parents Feed Their KidsRace Plays Role in Kids' Food Allergies: StudyToo Many Kids With Special Needs Are Going Without Adequate SupportThere’s ‘A Path Forward’ to Reopening Schools, CDC Officials SayKids Aren't Scared by Medical Workers' PPE, Study FindsHand Sanitizer Is Harming Kids' Eyes, Often SeriouslyKids Highly Likely to Transmit Coronavirus to Others: StudyKids' ER Visits for Injuries Rose During Lockdown, While Non-Injury Cases FellShould Your Child Get a COVID Test?Climate Change Is Spurring Malnutrition in Kids WorldwideNew Year, New Tips for Keeping Your Kids Safe and HealthyAHA News: Pandemic Pods Offer Social Relief, But There Are RisksPediatricians' Group Says School Is Priority, With Proper Safety MeasuresKids With Congenital Heart Disease Face Higher Odds of Mental Health IssuesReady to Resume Sports?  Health Tips for Getting Back in the GameMasks Don't Mask Others' Emotions for KidsCould Going Vegetarian Lower Kids' Asthma Risk?Parents Feel the Strain as Pandemic Adds New Role: TeacherInvolved Dads Make a Difference for Disadvantaged TeensPoll Charts U.S. Parents' Biggest Worries During PandemicDo Genes Doom Some Kids to Obesity? Probably Not, Study FindsSchools, Day Care Not a Big Factor in Kids Getting COVID: StudyType 2 Diabetes in Youth Is Especially Unhealthy: StudyWhen Sepsis Strikes Children, Black Kids More Likely to Die: StudyNew Clues to Crohn's Disease in KidsKids With Dyslexia May Have Hidden StrengthsKids' Weight Rises When Convenience Stores Open Nearby: StudyA Better, Safer Way to Rid Some Kids of Seizures?
Questions and AnswersVideosLinksBook Reviews
Related Topics

ADHD: Attention Deficit Hyperactivity Disorder
Childhood Mental Disorders and Illnesses
Parenting

A Better, Safer Way to Rid Some Kids of Seizures?

HealthDay News
by By Cara Murez HealthDay Reporter
Updated: Dec 8th 2020

new article illustration

TUESDAY, Dec. 8, 2020 (HealthDay News) -- Children with tough-to-treat epilepsy now have another choice to help them live a life free of seizures, a new study suggests.

MRI-guided laser interstitial thermal therapy, a minimally invasive procedure for kids who have drug-resistant epilepsy, is successful in more than half of all cases and has a short recovery time, researchers report.

To arrive at that conclusion, the investigators studied the outcomes of children in the United States and Canada who had the laser therapy since 2013, comparing it to surgery, which is another treatment option.

"It's a relatively new procedure, both in Canada and in the U.S. As it currently stands, there's not much literature in terms of the outcomes and the complications of this procedure," explained study author Dr. Elysa Widjaja, a pediatric neuroradiologist at The Hospital for Sick Children in Toronto.

The researchers reported on outcomes of 182 children who received the therapy in the past seven years. They found, of the 137 children who had a single procedure and for whom one-year seizure outcomes were available, that 54% no longer had seizures. Another 20 children had two procedures, and 60% of those kids were seizure-free after a year.

The data is included in a registry that six surgery centers in the United States and two in Canada have contributed to, with more signing on, according to the report. The researchers presented their findings Friday at the American Epilepsy Society's virtual annual meeting. Such research is considered preliminary until published in a peer-reviewed journal.

"I would say that our current preliminary results from this study indicate that laser does provide reasonable seizure-free outcomes," Widjaja said. "The outcome is slightly lower [than surgery], but there are advantages to laser therapy compared to surgery. [It's] less invasive, shorter hospital stay, less injury to the normal brain and certainly less complications."

The success rate of surgery for curing seizures is 65%.

About 8% of the children who had the laser procedure experienced visual or sensory disturbances, but those were mostly temporary. They resolved in all but 1% of the study population, according to the research.

About 5% of those who get the surgery suffer permanent neurological deficits, the study authors said.

One of the children who had laser therapy died of brain swelling. In open surgery, between 0.4% and 1.2% die, depending on the location of the lesion being removed. The one death resulting from laser therapy is equivalent to 0.5% of patients, the findings showed.

Prior to laser therapy, surgery was the only option to potentially cure seizures. There are other types of treatment, Widjaja said, but they're meant to reduce rather than cure seizures.

In the laser procedure, the surgeon makes a small hole in the skull. A thin laser fiber goes through that to the lesion -- or the spot in the brain that is the source of the seizures. Laser heat energy burns the lesion. MRI is used to monitor the temperature and protect nearby brain tissue, the researchers explained.

With the surgery, the doctor makes an incision in the scalp and removes a flap of skull bone, cutting out the lesion and replacing the bone flap.

An advantage to laser therapy is that it can be used for lesions deep within the brain without as much injury to normal tissue, Widjaja said. It also has fewer complications, she said. The hospital stay after the procedure is two days, compared to seven days after surgery.

The most common lesions experienced by the study participants were hypothalamic hamartomas and focal cortical dysplasias.

The U.S. National Institutes of Health describes hypothalamic hamartomas as rare, tumor-like malformations. They are present at birth and can cause a variety of symptoms, including a type of seizure. Focal cortical dysplasia involves abnormal brain cell organization, according to the Epilepsy Foundation.

"It's encouraging because minimally invasive surgery has fewer hospital days. There tend to be fewer complications. There is less infection. There is less stroke," said Dr. William Gaillard, chief of neurology at Children's National Hospital in Washington, D.C., and a past president of the American Epilepsy Society.

Gaillard thinks people don't consider surgical procedures for epilepsy early enough. It is less likely for children that there will be neurological consequences that are behavioral and cognitive, he said. Becoming seizure-free can also mean more normal socialization, he added.

Medicines do work but come with side effects. People are more clear-headed and have better thinking function when they are off their medicines and seizure-free, Gaillard said.

One reason to opt for a procedure to stop seizures is that there's a very real risk of dying from epilepsy, Gaillard said.

"The best way to avoid dying from epilepsy is to eliminate epilepsy," Gaillard explained. "You lose the stigmatization. When you achieve seizure freedom, you're much more likely to drive, to be independent, to become educated. Those are all important things."

More information

Visit the U.S. Centers for Disease Control and Prevention for more on epilepsy.


SOURCES: Elysa Widjaja, MD, MPH, neuroradiologist, The Hospital for Sick Children, and associate professor, University of Toronto; William Gaillard, MD, chief, neurology, Children's National Hospital, Washington D.C., and past president, American Epilepsy Society; Dec. 4, 2020, presentation, American Epilepsy Society's virtual annual meeting