[Treatment of intractable epilepsy with hemispherectomy].
OBJECTIVE
To explore the clinical effectiveness of hemispherectomy for patients with intractable epilepsy.


METHODS
Thirty-six patients with intractable epilepsy were treated by modified hemispherectomy and their clinical results were followed up after operation.


RESULTS
The seizures of the 36 patients were effectively controlled and 34 (94.4%) were thoroughly controlled. Meanwhile, the dysfunction of the central nervous system in 30 patients (83.3%) was aggravated, and 5 patients (13.9%) showed better improvement than before. Neuropsychological assessment revealed much improvement in the patients.


CONCLUSIONS
Modified hemispherectomy is advisable for patients with wide-range lesion of the half-brain associated with intractable epilepsy.
Yang
Zhong-xu
ZX
Neurosurgical Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
Luan
Guo-ming
GM
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004827:Epilepsy / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D038421:Hemispherectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D055815:Young Adult