title: Reorganization of sensorimotor function after functional hemispherectomy studied using near-infrared spectroscopy.
abstract: Hemimegalencephaly is a rare congenital disease that occurs with intractable epilepsy and is a childhood developmental disorder. A functional hemispherectomy is indicated for the treatment of hemimegalencephaly with intractable epilepsy. We present a case of hemimegalencephaly in a 6-month-old male. After hemispherectomy, his seizures disappeared completely and postoperative neurological examination showed right hemiplegia. His right arm and limb function were recovered gradually by rehabilitation with passive movement. We investigated cortical activation using near-infrared spectroscopy (NIRS). Serial NIRS showed right cortical activation by passive movement of his right arm. We suggest that NIRS showed the ipsilateral reorganization process as an effect of neurorehabilitation for disconnection of the brain.
authors.affiliation: Department of Rehabilitation Medicine, Kinki University School of Medicine, Osaka-Sayama, Japan. honda@reha.med.kindai.ac.jp
authors.forename: Noritsugu
authors.initials: N
authors.lastname: Honda
authors.forename: Toshiki
authors.initials: T
authors.lastname: Matuoka
authors.forename: Yuko
authors.initials: Y
authors.lastname: Sawada
authors.forename: Naoki
authors.initials: N
authors.lastname: Nakano
authors.forename: Lin
authors.initials: L
authors.lastname: Suwen
authors.forename: Yuji
authors.initials: Y
authors.lastname: Higashimoto
authors.forename: Kanji
authors.initials: K
authors.lastname: Fukuda
authors.forename: Shohei
authors.initials: S
authors.lastname: Ohgi
authors.forename: Amami
authors.initials: A
authors.lastname: Kato
mesh_terms: D004827:Epilepsy / Q000601:surgery; D005260:Female; D038421:Hemispherectomy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D054220:Malformations of Cortical Development / Q000473:pathology / Q000534:rehabilitation / Q000601:surgery; D009044:Motor Cortex / Q000002:abnormalities* / Q000502:physiology / Q000601:surgery; D009473:Neuronal Plasticity; D013003:Somatosensory Cortex / Q000002:abnormalities* / Q000502:physiology / Q000601:surgery; D019265:Spectroscopy, Near-Infrared