Importance and Outcome in Early Surgery for Epilepsy

Early surgical intervention in pediatric epilepsy, especially in drug-resistant cases, is associated with significantly better outcomes. Timely surgery can prevent the damaging effects of ongoing seizures on the developing brain, reduce cognitive and behavioral decline, and improve quality of life. Studies show that early surgery increases the likelihood of achieving seizure freedom and enhances developmental trajectories, particularly in young children with focal epilepsies or identifiable lesions. Delayed surgery often results in poorer neurocognitive outcomes due to prolonged seizure activity. Multidisciplinary evaluation and early referral to epilepsy surgery centers are critical to identifying candidates who benefit most from timely intervention.