Donncha F O'Brien1, Surajit Basu, Dawn H Williams, Paul L May. 1. Department of Neurosurgery, Royal Liverpool Children's Hospital NHS Trust, Alder Hey and the Walton Centre for Neurology and Neurosurgery NHS Trust, Eaton Road, Liverpool, L12 2AP, UK. dfobstl@hotmail.com
Abstract
OBJECTIVE: This current study was performed to evaluate whether superficial cerebral haemosiderosis (SCH) is still a complication of modern day anatomical hemispherectomy. METHODS: We report a 13-year institutional experience with anatomical hemispherectomy for intractable epilepsy. Seizure control at a mean follow-up interval of 7 years was 83%. Though one patient died post-operatively from a non-neurosurgical complication, mortality was otherwise zero and morbidity minimal. The much-described complication of SCH following anatomical hemispherectomy was non-existent. We explain the history of SCH as a complication of anatomical hemispherectomy, and the measures that are presently taken to prevent it. CONCLUSIONS: We suggest that the importance of SCH in modern epilepsy surgery is probably over-emphasised.
OBJECTIVE: This current study was performed to evaluate whether superficial cerebral haemosiderosis (SCH) is still a complication of modern day anatomical hemispherectomy. METHODS: We report a 13-year institutional experience with anatomical hemispherectomy for intractable epilepsy. Seizure control at a mean follow-up interval of 7 years was 83%. Though one patient died post-operatively from a non-neurosurgical complication, mortality was otherwise zero and morbidity minimal. The much-described complication of SCH following anatomical hemispherectomy was non-existent. We explain the history of SCH as a complication of anatomical hemispherectomy, and the measures that are presently taken to prevent it. CONCLUSIONS: We suggest that the importance of SCH in modern epilepsy surgery is probably over-emphasised.
Authors: M Piastra; D Pietrini; E Caresta; A Chiaretti; L Viola; F Cota; A Pusateri; G Polidori; C Di Rocco Journal: Childs Nerv Syst Date: 2004-07 Impact factor: 1.475
Authors: D J O'Rourke; A Bergin; A Rotenberg; J Peters; M Gorman; A Poduri; J Cryan; H Lidov; J Madsen; C Harini Journal: Epilepsy Behav Case Rep Date: 2014-03-12