title: Intact intracranial breast prosthesis: a 28-year CT follow-up after treatment of late hemispherectomy complications.
abstract: Anatomical hemispherectomy has had excellent results in treating drug-resistant seizures of infantile hemiplegia. This technique of hemispherectomy consists in the removal of a whole hemisphere, with or without the basal ganglia, the end result being a large cavity left at the end of the operation. The technique, however, is considered to be weighted by important complications, in particular intracranial hemorrhages due to vessels tearing secondary to dislodgement of the remaining hemisphere. Several techniques have been consequently proposed to reduce the volume of the residual hemicranial cavity. An alternative measure is the filling of the cavity itself. We have demonstrated that this type of procedure can be carried out using a silicone breast prosthesis. In this report, we demonstrate also that such an implant can have a surprisingly long duration in its unusual location.
authors.affiliation: Department of Radiological, Oncological and Pathological Sciences, University of Rome "Sapienza", Viale Regina Elena 324, 00161, Rome, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Sorano
authors.forename: M
authors.initials: M
authors.lastname: Telesca
authors.forename: F
authors.initials: F
authors.lastname: Pediconi
authors.forename: D
authors.initials: D
authors.lastname: Bova
authors.forename: F
authors.initials: F
authors.lastname: Guidetti
mesh_terms: D018427:Breast Implants; D006429:Hemiplegia / Q000601:surgery; D038421:Hemispherectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012640:Seizures / Q000601:surgery*; D012828:Silicones; D013997:Time Factors; D014057:Tomography, X-Ray Computed
chemical_list: D012828:Silicones