Fifty consecutive hemispherectomies: outcomes, evolution of technique, complications, and lessons learned.

ABSTRACT:

Background

Techniques for achieving hemispheric disconnection in patients with epilepsy continue to evolve.

Objective

To review the outcomes of the first 50 hemispherectomy surgeries performed by a single surgeon with an emphasis on outcomes, complications, and how these results led to changes in practice.

Methods

The first 50 hemispherectomy cases performed by the lead author were identified from a prospectively maintained database. Patient demographics, surgical details, clinical outcomes, and complications were critically reviewed.

Results

From 2004 to 2012, 50 patients underwent hemispherectomy surgery (mean follow-up time, 3.5 years). Modified lateral hemispherotomy became the preferred technique and was performed on 44 patients. Forty patients (80%) achie

SUBMITTER: Lew SM 

PROVIDER: S-EPMC3916907 | biostudies-literature | 2014 Feb

REPOSITORIES: biostudies-literature