Modified hemispherectomy for epilepsy: early results in 10 cases.
Early outcome results for 10 cases of modified hemispherectomy are presented. All patients had a history of infantile hemiplegia and intractable epilepsy. Pre- and postoperative measures for seizures and motor and cognitive and behavioural functioning are described. Early results are encouraging with no mortality and a low rate of complications. There was a complete cessation of seizures in seven patients and a considerable reduction in seizure frequency in two. Motor functioning was largely unaffected. Behaviour problems tended to improve at the cessation of seizures. IQ scores did not deteriorate as a consequence of operation and some patients showed considerable gains in IQ with the passage of time. Details of cognitive functioning are described.
Beardsworth
E D
ED
Department of Clinical Neuropsychology, Radcliffe Infirmary, Oxford, United Kingdom.
Adams
C B
CB
D000293:Adolescent; D001921:Brain / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D004827:Epilepsy / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006429:Hemiplegia / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male