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
相关论文
共 50 条
  • [41] Surgical treatment of intractable epilepsy combined with bipolar electrocoagulation on functional cortex
    Luan, GM
    Sun, ZR
    Bai, Q
    Wang, CC
    STEREOTACTIC AND FUNCTIONAL NEUROSURGERY, 2001, 77 (1-4) : 233 - 238
  • [42] Referral patterns in 537 patients for surgical treatment of intractable partial epilepsy
    Cascino, GD
    Meyer, FB
    Marsh, WR
    So, EL
    Sharbrough, FW
    EPILEPSIA, 2004, 45 : 334 - 334
  • [43] Racial disparities in the use of surgical treatment for intractable temporal lobe epilepsy
    Burneo, JG
    Black, L
    Knowlton, RC
    Faught, E
    Morawetz, R
    Kuzniecky, RI
    NEUROLOGY, 2005, 64 (01) : 50 - 54
  • [44] VASCULAR MALFORMATIONS AND INTRACTABLE EPILEPSY - OUTCOME AFTER SURGICAL-TREATMENT
    DODICK, DW
    CASCINO, GD
    MEYER, FB
    MAYO CLINIC PROCEEDINGS, 1994, 69 (08) : 741 - 745
  • [45] SURGICAL THERAPY FOR MEDICALLY INTRACTABLE EPILEPSY
    OJEMANN, GA
    JOURNAL OF NEUROSURGERY, 1987, 66 (04) : 489 - 499
  • [46] SURGICAL-TREATMENT OF INTRACTABLE EPILEPSY ATTRIBUTABLE TO MULTIPLE-SCLEROSIS
    SMITH, B
    ELISEVICH, K
    EPILEPSIA, 1995, 36 : S250 - S250
  • [47] Role of MRI in patient selection for surgical treatment of intractable epilepsy in infancy
    Daghistani, Razan
    Widjaja, Elysa
    BRAIN & DEVELOPMENT, 2013, 35 (08): : 697 - 705
  • [48] Surgical treatment for intractable paediatric epilepsy with widespread or multilobar cortical dysplasia
    Kato, A.
    Kishima, H.
    Okinaga, T.
    Hirata, M.
    Oshino, S.
    Shimono, K.
    Tani, N.
    Kagawa, N.
    Ninomiya, H.
    Saitoh, Y.
    Yoshimine, T.
    EPILEPSIA, 2007, 48 : 123 - 123
  • [49] SURGICAL TREATMENT OF MEDICALLY INTRACTABLE TEMPORAL LOBE EPILEPSY IN PRESCUL CHILDREN
    Mamatkhanov, M.
    Abramov, K.
    Odincova, G.
    Lebedev, K.
    Samochernykh, K.
    EPILEPSIA, 2016, 57 : 220 - 220
  • [50] Outcome of surgical treatment in non-lesional intractable childhood epilepsy
    Seo, Joo Hee
    Noh, Byoung Ho
    Lee, Joon Soo
    Kim, Dong Suk
    Lee, Seung Koo
    Kim, Tae Seung
    Kim, Se Hoon
    Kang, Hoon Chul
    Kim, Heung Dong
    SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2009, 18 (09): : 625 - 629