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Hemispherotomy for intractable epilepsy
- Article from:
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Neurology India
- Article date:
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April 1, 2008
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Copyright informationCopyright Medknow Publications Apr-Jun 2008. Provided by ProQuest LLC. (Hide copyright information)
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Functional hemispherotomy is indicated in patients with intractable epilepsy with a diffuse unicerebral pathology. Among the various choices available for epilepsy surgery, this procedure provides the highest rate of seizure control (average 77-80%, Class I Engel) when performed in properly indicated patients. [1],[2] This has replaced the more invasive hemispherectomy [3],[4] as the latter not only leads to more blood loss, but is also associated with significantly higher rates of hydrocephalus, cerebral hemosiderosis, and sudural collections. After its first description by Rasmussen, [5] functional hemispherotomy gained gradual popularity with two major techniques having been described: a ...
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