Treatment of intractable epilepsy with hemispherectomy.
- Author:
Zhong-xu YANG
1
;
Guo-ming LUAN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Child; Child, Preschool; Epilepsy; surgery; Female; Follow-Up Studies; Hemispherectomy; adverse effects; methods; Humans; Male; Treatment Outcome; Young Adult
- From: Chinese Journal of Surgery 2003;41(5):359-361
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the clinical effectiveness of hemispherectomy for patients with intractable epilepsy.
METHODSThirty-six patients with intractable epilepsy were treated by modified hemispherectomy and their clinical results were followed up after operation.
RESULTSThe seizures of the 36 patients were effectively controlled and 34 (94.4%) were thoroughly controlled. Meanwhile, the dysfunction of the central nervous system in 30 patients (83.3%) was aggravated, and 5 patients (13.9%) showed better improvement than before. Neuropsychological assessment revealed much improvement in the patients.
CONCLUSIONSModified hemispherectomy is advisable for patients with wide-range lesion of the half-brain associated with intractable epilepsy.
