• Zhonghua Wai Ke Za Zhi · May 2003

    [Treatment of intractable epilepsy with hemispherectomy].

    • Zhong-xu Yang and Guo-ming Luan.
    • Neurosurgical Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
    • Zhonghua Wai Ke Za Zhi. 2003 May 1;41(5):359-61.

    ObjectiveTo explore the clinical effectiveness of hemispherectomy for patients with intractable epilepsy.MethodsThirty-six patients with intractable epilepsy were treated by modified hemispherectomy and their clinical results were followed up after operation.ResultsThe 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.ConclusionsModified hemispherectomy is advisable for patients with wide-range lesion of the half-brain associated with intractable epilepsy.

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