[Long-term results in 31 patients on total hemispherectomy modified for infantile hemiplegic epilepsy].
To overcome long-term complications of hemispherectomy, We modified its operative method. The modified hemispherectomy was performed for 31 patients between 1985 and 1992. These patients were studied for 7 years after operation. The results showed total control of seizures in 28 children with chronic epilepsy (90%) or near-total control in the others. No deaths or delayed complications were noted but improvement in behavior and hemiplegia. CT and MRI showed marked shift of the remaining hemisphere. On brain-stem auditory evoked potentials, the latency of peak I was not variant (P > 0.05). The method makes the insulation of the subdural cavity from the ventricular system more reliable, and climates the pathological conditions.
Xu
Y
Y
Department of Neurosurgery, Beijing Tiantan Hospital.
Li
S
S
Chen
B
B
D000293:Adolescent; D000328:Adult; D001921:Brain / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004827:Epilepsy / Q000503:physiopathology / Q000601:surgery*; D016057:Evoked Potentials, Auditory, Brain Stem; D005260:Female; D005500:Follow-Up Studies; D006429:Hemiplegia / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009128:Muscle Spasticity; D019635:Neurosurgical Procedures / Q000379:methods