Hemispherotomy and other disconnective techniques

Ribaupierre, Sandrine de; Delalande, Olivier

doi:10.3171/foc/2008/25/9/e14

Cited by 90 publications

(98 citation statements)

References 67 publications

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“…табл. 2), и данные литературы [23][24][25]. Полагаем, что по мере нако-пления опыта и в наших сериях результативность вертикальной гемисферотомии сравняется с лите-ратурными данными, согласно которым она дости-гает 90% [24].…”

Section: Discussionunclassified

Hemispherectomy in the treatment of pediatric symptomatic epilepsy of children

et al. 2016

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Section: Discussionunclassified

Hemispherectomy in the treatment of pediatric symptomatic epilepsy of children

et al. 2016

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“…5,6 Hy dro cephalus necessitating ventriculoperitoneal shunt place ment is more likely to occur when the underlying path ology is hemimegalencephaly or another multilobar cor tical dysplasia.…”

Section: Hydrocephalusmentioning

confidence: 99%

Modified periinsular hemispherotomy: operative anatomy and technical nuances

Kovanda

Rey‐Dios

Trávnícek

et al. 2014

PED

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Surgical options for pediatric patients with marked dysfunction of a single epileptogenic hemisphere have evolved over time. Complications resulting from highly resective operations such as anatomical hemispherectomy, including superficial siderosis and secondary hydrocephalus, have led to the development of less resective and more disconnective functional hemispherectomy. Functional hemispherectomy has recently given rise to hemispherotomy, the least resective operation primarily aimed at disconnecting the abnormal hemisphere. Hemispherotomy is effective in decreasing seizure frequency and most likely decreases the risk of postoperative complications when compared with its predecessors. Hemispherotomy is a technically challenging operation that requires a thorough understanding of 3D cerebral anatomy to ensure adequate hemispheric disconnection without placing important structures at risk. The details of germane operative anatomy are not currently available because of the difficulty in exposing this operative anatomy adequately in cadavers to prepare detailed instructive illustrations. Using 3D graphic models, the authors have prepared 2D overlay illustrations to discuss the relevant operative nuances for a modified form of this procedure. Through hemispherotomy, experienced surgeons can effectively treat patients with unilateral epileptogenic hemisphere dysfunction while limiting potential complications.

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“…Both techniques are known as "hemispherotomy." 1,2,7,8 Overall seizure freedom with the newer procedures range from 74% to 85%.…”

Section: Historical Overviewmentioning

confidence: 99%