title: Neuroplasticity in hemispheric syndrome: an interesting case report.
abstract: Functional hemispherectomy is an accepted treatment in hemispherical intractable epilepsy syndromes. We report a patient who had functional hemispherectomy for intractable seizures secondary to right hemispheric cortical dysplasia. Preoperatively, the patient had mild left hemiparesis and functional magnetic resonance imaging (fMRI) showed bilateral motor function lateralization to normal left hemisphere. The patient remains seizure free at 1-year follow-up, with no deterioration of motor power on left side. This report reviews physiology of neural plasticity for motor function lateralization and also reliability of fMRI in determining the functional shift.
authors: Department of Neurosurgery, Krishna Institute of Medical Sciences, Secunderabad, Andhra Pradesh, India.
authors: Shyam Sundar
authors: SS
authors: Krishnan
authors: Manas
authors: M
authors: Panigrahi
authors: Sita
authors: S
authors: Jayalakshmi
authors: Dandu R
authors: DR
authors: Varma
mesh_terms: D002540:Cerebral Cortex / Q000098:blood supply / Q000503:physiopathology; D007839:Functional Laterality / Q000502:physiology; D038421:Hemispherectomy / Q000379:methods*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D008297:Male; D009473:Neuronal Plasticity / Q000502:physiology*; D010100:Oxygen / Q000097:blood; D010291:Paresis / Q000150:complications / Q000503:physiopathology* / Q000601:surgery*; D012640:Seizures / Q000209:etiology / Q000601:surgery; D055815:Young Adult
chemical_list: D010100:Oxygen