Hemispherectomy for intractable epilepsy in adults: the first reported series.
作者： Shearwood McClelland , Robert E. Maxwell
DOI: 10.1002/ANA.21084
关键词: Intractable epilepsy 、 Psychology 、 Seizure activity 、 Hydrocephalus 、 Visual field loss 、 Hemispherectomy 、 Epilepsy 、 Hemosiderosis 、 Surgery 、 Central nervous system disease
摘要: Hemispherectomy for intractable unihemispheric epilepsy (IUE) has long been established in pediatric patients. This study reports the first series examining hemispherectomy exclusively adult patients (>18 years old). Nine adults with IUE underwent at University of Minnesota. All had unilateral hemiplegia and visual field loss. Seven (77.8%) were Engel class I/II last follow-up. Five (83.3%) six >30 follow-up seizure free. No surgery-related mortality, hydrocephalus, or superficial cerebral hemosiderosis occurred. is an effective procedure appropriately selected patients, resulting excellent long-term control no mortality.
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