Pediatric peri-insular hemispherotomy.
A number of surgical procedures are available for patients with epilepsy associated with diffuse hemispheric disorders. In this report, 16 pediatric patients had hemispherectomy: 5 underwent hemidecortication and 11 had peri-insular hemispherotomy. The clinical records were retrospectively reviewed, and the results and complications of the procedures were documented. The procedure was feasible in very young children and in the absence of ventriculomegaly.
Kestle
J
J
Division of Pediatric Neurosurgery, Primary Children's Medical Center, University of Utah, Salt Lake City, UT 84113, USA. jk@suzy.med.utah.edu
Connolly
M
M
Cochrane
D
D
D000293:Adolescent; D002541:Cerebral Decortication / Q000379:methods*; D002544:Cerebral Infarction / Q000150:complications; D002648:Child; D002675:Child, Preschool; D004660:Encephalitis / Q000150:complications; D004827:Epilepsy / Q000145:classification / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D018579:Patient Selection; D011612:Psychosurgery / Q000379:methods*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013341:Sturge-Weber Syndrome / Q000150:complications; D013702:Temporal Lobe / Q000601:surgery*; D016896:Treatment Outcome