Results 121 to 130 of about 589 (167)
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Functional hemispherotomy for epilepsy in the very young
Journal of Neurosurgery: Pediatrics, 2022OBJECTIVE Epilepsy is one of the most common neurological disorders in children. Among very young children, one-third are resistant to medical treatment, and lack of effective treatment may result in adverse outcomes. Although functional hemispherotomy is an established treatment for epilepsy, its outcome in the very young child has not been widely ...
Joshua, Pepper +11 more
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Hemispherotomy: description of surgical technique
Child's Nervous System, 2005Hemispherectomy constitutes an established surgical method in the management of patients with medically intractable epilepsy, secondary to severe unilateral hemisphere damage. The well-established association of the anatomical hemispherectomy initially described with severe complications such as late hydrocephalus has led to the development of less ...
Joseph R, Smith +2 more
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Pediatric Peri-Insular Hemispherotomy
Pediatric Neurosurgery, 2000A number of surgical procedures are available for patients with epilepsy associated with diffuse hemispheric disorders. In this report, 16 pediatric patients had hemispherectomy: 5 underwent hemidecortication and 11 had peri-insular hemispherotomy. The clinical records were retrospectively reviewed, and the results and complications of the procedures ...
J, Kestle, M, Connolly, D, Cochrane
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Hemispherotomy for Paediatric Hemispheric Epilepsy
Stereotactic and Functional Neurosurgery, 2001We present here the results of our series of peri-insular hemispherotomy for intractable hemispheric epilepsy. There were 6 children in this series with a mean age of 10.2 years and mean duration of seizures of 7.2 years. The seizure results were excellent in all children and they also showed significant improvement in functional status. This procedure
R T, Daniel +3 more
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Hemispheric Disconnection: Callosotomy and Hemispherotomy
2000Callosotomy and hemispherotomy are both neurosurgical procedures available to disconnect the cerebral hemisphere. Callosotomy disconnects the hemispheres partly or completely, one from the other, while hemispherotomy disconnects one hemisphere from the rest of the central nervous system.
Villemure, J. G. +2 more
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Technical note on hemispherotomy
Child's Nervous System, 2015Complications both peri and postoperative and surgical difficulties during anatomical hemispherectomies motivated Rasmussen, in 1974, to describe a new technique, the Functional Hemispherectomy [1]. The main argument at that time was that by performing a complete disconnection with preservation of brain tissue in the affected hemisphere, it would ...
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Hemispherotomy for Epilepsy: The Procedure Evolution and Outcome
Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques, 2020ABSTRACT:Hemispherectomy is a unique epilepsy surgery procedure that has undergone significant modification and evolution since Dandy’s early description. This procedure is mainly indicated to treat early childhood and infancy medically intractable epilepsy. Various epileptic syndromes have been treated with this procedure, including hemimegalencephaly
Faisal Alotaibi +5 more
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Endoscopic Hemispherotomy for Nonatrophic Rasmussen's Encephalopathy
Neurology India, 2021Hemispheric disconnection represents a challenging and major epilepsy surgical procedure. This procedure in experienced hands offers excellent results in terms of seizure outcomes, especially for hemispheric pathologies such as Rasmussen's encephalitis, hemispheric dysplasias, hemimegalencephaly.
Ramesh Sharanappa, Doddamani +8 more
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Characterization of postoperative fevers after hemispherotomy
Child's Nervous System, 2014Patients who have undergone hemispherotomy for intractable epilepsy tend to develop postoperative fevers, which can be severe and/or prolonged, for unclear reasons. The purpose of this paper is to characterize postoperative fever curves after hemispherotomy based on factors including seizure etiology, perioperative blood loss, and the presence or ...
Ashwin A, Kamath +2 more
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Postoperative development of children after hemispherotomy
Brain and Development, 2002We studied the postoperative development of 14 children with cortical dysgenesis who underwent modified functional hemispherectomy (hemispherotomy) at the age of 6 years or younger. At follow-up of 24-72 months (median of 47 months), six (43%) were seizure-free, six achieved>90% reduction, one achieved 50-90% reduction, and one achieved 0-50% reduction
Taketoshi, Maehara +6 more
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