title: Disconnective Hemispherotomy for Medically Intractable Status Epilepticus in an 8-Year-Old Child.
abstract: We report here the unusual case of an 8-year-old child with left hemispheric focal epilepsy secondary to a perinatal infarction who presented with new onset absence seizures and eventual nonconvulsive status epilepticus that was refractory to medical management. Following review at our multidisciplinary Epilepsy Surgery conference, the patient underwent disconnective surgical hemispherotomy with immediate cessation of his seizures; and has remained seizure-free at 4 months following surgery. In this context, we present here an overview of hemispherectomy and related procedures, including peri-insular disconnective hemispherotomy, and we discuss the efficacy of surgery for challenging hemispheric epilepsies.
authors.forename: Lucas
authors.initials: L
authors.lastname: Bradley
authors.forename: Diaa
authors.initials: D
authors.lastname: Bahgat
authors.forename: Gregory
authors.initials: G
authors.lastname: Sharp
authors.forename: Erin
authors.initials: E
authors.lastname: Willis
authors.forename: Eylem
authors.initials: E
authors.lastname: Ocal
authors.forename: Gregory
authors.initials: G
authors.lastname: Albert
authors.forename: Demitre
authors.initials: D
authors.lastname: Serletis
mesh_terms: D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002658:Developmental Disabilities / Q000209:etiology; D038421:Hemispherectomy / Q000379:methods; D006801:Humans; D008297:Male; D013226:Status Epilepticus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome