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[Treatment of intractable epilepsy with hemispherectomy]
1Neurosurgical Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
Objective:
To explore the clinical effectiveness of hemispherectomy for patients with intractable epilepsy.
Methods:
Thirty-six patients with intractable epilepsy were treated by modified hemispherectomy and their clinical results were followed up after operation.
Results:
The seizures of the 36 patients were effectively controlled and 34 (94.4%) were thoroughly controlled. Meanwhile, the dysfunction of the central nervous system in 30 patients (83.3%) was aggravated, and 5 patients (13.9%) showed better improvement than before. Neuropsychological assessment revealed much improvement in the patients.
Conclusions:
Modified hemispherectomy is advisable for patients with wide-range lesion of the half-brain associated with intractable epilepsy.