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Hemispherotomy and Functional Hemispherectomy: Indications and Outcomes
Ju-Seong Kim1, Eun-Kyung Park2, Kyu-Won Shim2
1Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea.
Journal of Epilepsy Research
|August 10, 2018
Summary
Hemispherectomy is a surgical treatment for severe epilepsy caused by unilateral brain damage. This procedure disconnects an entire brain hemisphere, offering good epilepsy and functional outcomes for specific patient groups.
Area of Science:
- Neurosurgery
- Epileptology
- Neurology
Background:
- Hemispherectomy is an established surgical option for intractable epilepsy.
- It involves disconnecting an entire cerebral hemisphere, unlike focal resections.
- This procedure addresses severe unilateral brain damage.
Purpose of the Study:
- To detail the indications for hemispheric surgeries.
- To report on the epilepsy and functional outcomes of these procedures.
- To describe the surgical techniques employed in hemispheric surgeries.
Main Methods:
- Review of indications for hemispheric surgeries.
- Analysis of epilepsy outcomes.
- Description of surgical techniques.
- Evaluation of functional outcomes.
Main Results:
- Hemispherectomy is recommended for specific indications.
- The procedure demonstrates good functional outcomes.
- Patients experience positive epilepsy outcomes following surgery.
Conclusions:
- Hemispheric surgeries, including hemispherectomy, are effective treatments for select epilepsy cases.
- Despite the extensive nature of the surgery, favorable outcomes are achieved.
- Further description of techniques and outcomes supports its clinical use.
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