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Review
. 2006 Aug;22(8):982-91.
doi: 10.1007/s00381-006-0135-2. Epub 2006 Jun 30.

Anatomical hemispherectomy

K N Fountas  1 , J R Smith, J S Robinson, G Tamburrini, D Pietrini, C Di Rocco
Affiliations
Review

Anatomical hemispherectomy

K N Fountas et al. Childs Nerv Syst. 2006 Aug.

Abstract

Introduction: Anatomical hemispherectomy is frequently employed in the surgical management of pediatric patients with medically refractory epilepsy.

Materials and methods: In this chapter, we review the historical evolution of this surgical procedure, outline the indications and the criteria for selecting surgical candidates and describe the important pre-operative evaluation of the surgical candidates.

Discussion: We provide a detailed description of our surgical technique, anesthesiological considerations, and post-operative care plan. Ultimately we analyze the most common complications associated with this procedure.

Conclusion: Anatomical hemispherectomy performed in carefully selected pediatric patients with medically intractable epilepsy can be a safe and efficacious surgical procedure.

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