Transventricular hemispherotomy for surgical treatment of intractable epilepsy

被引:8
|
作者
Morino, Michiharu
Shimizu, Hiroyuki
Uda, Takehiro
Naitoh, Kentaro
Kawahara, Shinichi
Ishiguro, Tomoya
Gotoh, Takeo
Ohata, Kenji
Hara, Mitsuhiro
机构
[1] Osaka City Univ, Dept Neurosurg, Grad Sch Med, Abeno Ku, Osaka 5458585, Japan
[2] Tokyo Metropolitan Neurol Hosp, Dept Neurosurg, Tokyo, Japan
关键词
intractable epilepsy; cerebral hemispherectomy; cerebral hemispherotomy; transventricular approach; epilepsy surgery;
D O I
10.1016/j.jocn.2005.11.051
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Surgical procedures for cerebral hemispherotomy may be broadly divided into those using a lateral and those using a vertical approach. However, careful study of surgical procedures using the lateral approach described in the literature shows differences in the approach to the ventricles. We discuss the application of transventricular hemispherotomy as a technique which provides relatively easy ventricular access for cerebral hemispherotomy. Transventricular hemispherotomy was successfully performed in a 36-year-old woman who was diagnosed with intractable epilepsy due to Sturge-Weber disease, and in a 25-year-old man who had developed intractable post-traumatic seizures after suffering cerebral contusion in a traffic accident as a child. These patients had no seizures or complications after surgery, and both patients have been weaned from antiepileptic drugs. The transventricular approach, as compared with other lateral approaches described in the literature, provides easy access to the ventricular cavity. Transventricular hemispherotomy proved to be a useful approach that allowed the following four common steps in cerebral hemispherotomy to be performed safely: (i) interruption of the internal capsule and corona radiata; (ii) resection of the medial temporal structures; (iii) transventricular corpus callosotomy; and (iv) disruption of the frontal horizontal fibers. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:171 / 175
页数:5
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