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Peri-insular hemispherotomy: potential pitfalls and avoidance of complications
Roy Thomas Daniel1, Jean Guy Villemure
1Service de Neurochirurgie, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. roymercy@hotmail.com
Stereotactic and Functional Neurosurgery
|January 28, 2004
Abstract:
Techniques for cerebral hemispherectomy have progressively evolved towards more disconnection and less excision over the last 50 years. Peri-insular hemispherotomy (PIH), as described by the senior author, has the maximal ratio of disconnection to excision among all procedures for hemispheric epilepsy. In this study, we focus on surgical complications and intraoperative anatomical observations during PIH over the last 10 years. Based on this experience, the procedure has undergone some modifications, which we detail herein.