INTRODUCTION: Anatomical hemispherectomy is frequently employed in the surgical management of pediatric patients with medically refractory epilepsy. MATERIALS AND METHODS: In this chapter, we review the historical evolution of this surgical procedure, outline the indications and the criteria for selecting surgical candidates and describe the important pre-operative evaluation of the surgical candidates. DISCUSSION: We provide a detailed description of our surgical technique, anesthesiological considerations, and post-operative care plan. Ultimately we analyze the most common complications associated with this procedure. CONCLUSION: Anatomical hemispherectomy performed in carefully selected pediatric patients with medically intractable epilepsy can be a safe and efficacious surgical procedure.
INTRODUCTION: Anatomical hemispherectomy is frequently employed in the surgical management of pediatric patients with medically refractory epilepsy. MATERIALS AND METHODS: In this chapter, we review the historical evolution of this surgical procedure, outline the indications and the criteria for selecting surgical candidates and describe the important pre-operative evaluation of the surgical candidates. DISCUSSION: We provide a detailed description of our surgical technique, anesthesiological considerations, and post-operative care plan. Ultimately we analyze the most common complications associated with this procedure. CONCLUSION: Anatomical hemispherectomy performed in carefully selected pediatric patients with medically intractable epilepsy can be a safe and efficacious surgical procedure.
Authors: E H Kossoff; E P G Vining; P L Pyzik; S Kriegler; K-S Min; B S Carson; A M Avellino; J M Freeman Journal: Pediatr Neurosurg Date: 2002-12 Impact factor: 1.162
Authors: E H Kossoff; E P G Vining; D J Pillas; P L Pyzik; A M Avellino; B S Carson; J M Freeman Journal: Neurology Date: 2003-10-14 Impact factor: 9.910
Authors: Dario J Englot; Seunggu J Han; John D Rolston; Michael E Ivan; Rachel A Kuperman; Edward F Chang; Nalin Gupta; Joseph E Sullivan; Kurtis I Auguste Journal: J Neurosurg Pediatr Date: 2014-08-15 Impact factor: 2.375