[Modified hemispherectomy for intractable epilepsy in patients with infantile hemiplegia].
OBJECTIVE
To explore the effectiveness of modified hemispherectomy for intractable epilepsy in patients with infantile hemiplegia.


METHODS
Eighteen cases of patients were treated with modified hemispherectomy and the effectiveness was studied and followed up.


RESULTS
The seizures in all 18 cases of patients were controlled effectively and stopped completely in 16 cases of them, without nervous disfunction worsened. The patients' cerebral peduncles on healthy side were much thicker than those on sick side (t = 58.32, P < 0.001) and healthy peoples' (t = 14.63, P < 0.001) and the patients' cerebral peduncles on sick side were much thinner than those of healthy peoples' (t = 51.27, P < 0.001).


CONCLUSIONS
The modified hemispherectomy can effectively control the seizures of patients with infantile hemiplegia without superficial cerebral hemosiderosis happened.
Jiao
Qing-fang
QF
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu 610041, China.
You
Chao
C
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004827:Epilepsy / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006429:Hemiplegia / Q000150:complications / Q000601:surgery*; D038421:Hemispherectomy / Q000009:adverse effects / Q000379:methods*; D006486:Hemosiderosis / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*