Modified hemispherectomy for intractable epilepsy in patients with infantile hemiplegia.

Author: Qing-fang JIAO ¹ ; Chao YOU
Author Information

1. Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Publication Type:Journal Article
MeSH: Adolescent; Adult; Child; Child, Preschool; Epilepsy; complications; surgery; Female; Follow-Up Studies; Hemiplegia; complications; surgery; Hemispherectomy; adverse effects; methods; Hemosiderosis; etiology; prevention & control; Humans; Male; Postoperative Complications; etiology; prevention & control
From: Chinese Journal of Surgery 2005;43(21):1410-1413
CountryChina
Language:Chinese
Abstract:
OBJECTIVETo explore the effectiveness of modified hemispherectomy for intractable epilepsy in patients with infantile hemiplegia.
METHODSEighteen cases of patients were treated with modified hemispherectomy and the effectiveness was studied and followed up.
RESULTSThe seizures in all 18 cases of patients were controlled effectively and stopped completely in 16 cases of them, without nervous disfunction worsened. The patients' cerebral peduncles on healthy side were much thicker than those on sick side (t = 58.32, P < 0.001) and healthy peoples' (t = 14.63, P < 0.001) and the patients' cerebral peduncles on sick side were much thinner than those of healthy peoples' (t = 51.27, P < 0.001).
CONCLUSIONThe modified hemispherectomy can effectively control the seizures of patients with infantile hemiplegia without superficial cerebral hemosiderosis happened.