Parents’ opinions about epilepsy surgery in children with epilepsy

  • Hamid Nemati
    Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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  • Ali A. Asadi-Pooya
    Corresponding author at: Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
    Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

    Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, USA
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Published:October 31, 2022DOI:


      • Two hundred and seventy-seven participants (58.7%) were willing to have epilepsy surgery for their children.
      • The most common reason was to be able to discontinue the drugs.
      • Parental factors (e.g., educational level) had significant associations with their willingness to have surgery.
      • Patient factors (e.g., drug regimen) had significant associations with their parental willingness to have surgery.



      This survey aimed to investigate the opinions of the parents of children with epilepsy with regard to the application of epilepsy surgery for their children.


      We surveyed all the parents of children with epilepsy referred to our neurology clinic (Shiraz University of Medical Sciences) in April-July 2022. We collected their opinions about epilepsy surgery based on a predesigned questionnaire. The inclusion criteria included parents of all children with epilepsy (1 to 16 years of age, with at least one-year history of epilepsy, and with at least one drug used in the past 12 months).


      In total, 472 people participated in the study; 277 participants (58.7%) were willing to have epilepsy surgery for their child; the most common reason was to be able to discontinue the drugs. Sex (male), age (younger), and education (college) of the parents had significant associations with the parental willingness to have surgery for their children. The patient’s drug regimen (polytherapy) and history of ictal injury (in the child) also had significant associations with the parental willingness to have surgery for the children.


      Most parents of children with epilepsy are willing to have epilepsy surgery for their children if their physician presents epilepsy surgery to them as an established, safe, and effective treatment option. Patient and parental-related factors should be considered when designing educational materials and programs for preoperative counseling for the parents of children with drug-resistant seizures.


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