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Related Experiment Videos

Delayed complications thirty-six years after hemispherectomy: a case report

S N Kalkanis1, H Blumenfeld, J C Sherman

  • 1Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA.

Epilepsia
|August 1, 1996
PubMed
Summary

A rare late complication of hemispherectomy, hydrocephalus, developed 36 years after surgery in a patient. Ventriculoperitoneal shunting resolved symptoms, highlighting the need for long-term patient monitoring.

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Area of Science:

  • Neurosurgery
  • Neurology
  • Epilepsy Management

Background:

  • Hemispherectomy is a long-standing treatment for intractable epilepsy.
  • Late complications, including increased cerebrospinal fluid pressure due to superficial cerebral hemosiderosis, affect up to 33% of patients.

Observation:

  • A 52-year-old woman presented with hydrocephalus 36 years post-left hemispherectomy.
  • Symptoms included cognitive decline, gait issues, incontinence, and right hemineglect.

Findings:

  • Ventriculoperitoneal shunting led to complete symptom resolution.
  • Cognitive and gait assessments confirmed positive outcomes.

Implications:

  • This case represents the longest documented delay for post-hemispherectomy hydrocephalus.

Related Experiment Videos

  • Extended follow-up is crucial for identifying and managing late hemispherectomy complications.