title: Intractable epilepsy in vascular congenital hemiparesis: clinical features and surgical options.
abstract: Forty-one patients with vascular congenital hemiplegia and intractable epilepsy were reviewed. Most had severe hemiparesis, mental retardation, porencephaly, and focal epilepsy. Thirty-three were considered surgical candidates and 25 underwent surgery. Seizure freedom and significant seizure reduction were achieved in 12 of 13 patients after functional hemispherectomy, 4 of 6 after temporal lobectomy, 2 of 2 with extratemporal focal resections, 1 of 3 with corpus callosotomy, and 1 with porencephalic cyst drainage.
authors.affiliation: Departments of Neurology, Cleveland Clinic Foundation, OH 44195, USA.
authors.forename: M
authors.initials: M
authors.lastname: Carreño
authors.forename: P
authors.initials: P
authors.lastname: Kotagal
authors.forename: A
authors.initials: A
authors.lastname: Perez Jiménez
authors.forename: T
authors.initials: T
authors.lastname: Mesa
authors.forename: W
authors.initials: W
authors.lastname: Bingaman
authors.forename: E
authors.initials: E
authors.lastname: Wyllie
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D018572:Disease-Free Survival; D004569:Electroencephalography; D004829:Epilepsy, Generalized / Q000473:pathology / Q000601:surgery*; D006429:Hemiplegia / Q000151:congenital* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011184:Postoperative Period; D012189:Retrospective Studies; D016896:Treatment Outcome