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The authors sent a questionnaire to 103 patients who had undergone follow-up for more than 10 years after surgery; 85 patients (82.5%) responded. The survey contained 4 categories: seizure outcome, use of antiepileptic drugs, social participation, and general satisfaction with the surgical treatment (resection of the epileptic focus, including 4 hemispherectomies). The mean patient age at the time of surgery was 9.8 \u00b1 4.2 (SD) years, and the mean duration of postoperative follow-up was 15.4 \u00b1 5.0 years. Of the 85 patients, 79 (92.9%) presented with a lesional pathology, such as medial temporal sclerosis, developmental\/neoplastic lesions, focal cortical dysplasia, and gliosis in a single lobe.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>For 65 of the 85 responders (76.5%), the outcome was recorded as Engel Class I (including 15 [93.8%] of 16 patients with medial temporal sclerosis, 20 [80.0%] of 25 with developmental\/neoplastic lesions, and 27 [73.0%] of 37 with focal cortical dysplasia). Of these, 29 (44.6%) were not taking antiepileptic drugs at the time of our survey, 29 (44.6%) held full-time jobs, and 33 of 59 patients (55.9%) eligible to drive had a driver's license. Among 73 patients who reported their degree of satisfaction, 58 (79.5%) were very satisfied with the treatment outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The seizure outcome in patients who underwent resective surgery in childhood and underwent followup for more than 10 years was good. Of 85 respondents, 65 (76.5%) were classified in Engel Class I. The degree of social engagement was relatively high, and the satisfaction level with the treatment outcome was also high. From the perspective of seizure control and social adaptation, resective surgery yielded longitudinal benefits in children with intractable epilepsy, especially those with a lesional pathology in a single lobe.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2016.12.peds16197","type":"journal-article","created":{"date-parts":[[2017,3,3]],"date-time":"2017-03-03T14:57:16Z","timestamp":1488553036000},"page":"606-615","source":"Crossref","is-referenced-by-count":33,"title":["Long-term outcomes of epilepsy surgery in 85 pediatric patients followed up for over 10 years: a retrospective survey"],"prefix":"10.3171","volume":"19","author":[{"given":"Hiroshi","family":"Hosoyama","sequence":"first","affiliation":[{"name":"National Epilepsy Center, Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka;"},{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazumi","family":"Matsuda","sequence":"additional","affiliation":[{"name":"National Epilepsy Center, Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadahiro","family":"Mihara","sequence":"additional","affiliation":[{"name":"National Epilepsy Center, Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naotaka","family":"Usui","sequence":"additional","affiliation":[{"name":"National Epilepsy Center, Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Baba","sequence":"additional","affiliation":[{"name":"National Epilepsy Center, Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yushi","family":"Inoue","sequence":"additional","affiliation":[{"name":"National Epilepsy Center, Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayasu","family":"Tottori","sequence":"additional","affiliation":[{"name":"National Epilepsy Center, Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiaki","family":"Otsubo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fujimoto General Hospital, Miyakonojo, Miyazaki; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumi","family":"Kashida","sequence":"additional","affiliation":[{"name":"National Epilepsy Center, Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka;"},{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Hirano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Hanaya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunori","family":"Arita","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-peds16197","series-title":"Acta Paediatr","doi-asserted-by":"publisher","first-page":"e557","DOI":"10.1111\/j.1651-2227.2012.02834.x","article-title":"Long-term outcome of resective epilepsy surgery in Norwegian children","volume":"101","author":"Aaberg KM","year":"2012","unstructured":"Aaberg KM, Eriksson AS, Ramm-Pettersen J, Nakken KO: Long-term outcome of resective epilepsy surgery in Norwegian children. 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