The authors analyzed the electroclinical data obtained in the surgical treatment by the open method of 104 children and adolescents with focal and multifocal epilepsy. The indications were frequent epileptic seizures, resistance to drug therapy, clear-cut clinical and electrophysiological correlations with regard to the localization of the epileptic focus. If nonoperative treatment has no effect, it is not advisable to delay surgical intervention by more than 1--2 years. Dynamic EEG examination under conditions of natural sleep, deprivation of sleep or dark adaptation yields complete objective information on the principal focus. The used system of diagnostic and operative intervention ensured favourable outcomes in 88% of the children with focal epilepsy.
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