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Child's Nervous System
Published in: Child's Nervous System 5/2006

01-05-2006 | Original Paper

Anatomical hemispherectomy for intractable seizures: excellent seizure control, low morbidity and no superficial cerebral haemosiderosis

Authors: Donncha F. O’Brien, Surajit Basu, Dawn H. Williams, Paul L. May

Published in: Child's Nervous System | Issue 5/2006

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Abstract

Objective

This current study was performed to evaluate whether superficial cerebral haemosiderosis (SCH) is still a complication of modern day anatomical hemispherectomy.

Methods

We report a 13-year institutional experience with anatomical hemispherectomy for intractable epilepsy. Seizure control at a mean follow-up interval of 7 years was 83%. Though one patient died post-operatively from a non-neurosurgical complication, mortality was otherwise zero and morbidity minimal. The much-described complication of SCH following anatomical hemispherectomy was non-existent. We explain the history of SCH as a complication of anatomical hemispherectomy, and the measures that are presently taken to prevent it.

Conclusions

We suggest that the importance of SCH in modern epilepsy surgery is probably over-emphasised.
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Metadata
Title
Anatomical hemispherectomy for intractable seizures: excellent seizure control, low morbidity and no superficial cerebral haemosiderosis
Authors
Donncha F. O’Brien
Surajit Basu
Dawn H. Williams
Paul L. May
Publication date
01-05-2006
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 5/2006
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-005-0023-1

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