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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 336 - 343 (8page)
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초록· 키워드
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Epilepsy surgery revealed dramatically improved seizure outcomes over medical therapy in drug-resistant epilepsy patients. Children with epilepsy, however, have multiple epileptic focuses which require multilobar resection for better seizure outcome. Multilobar resection has not only the several severe surgical complications, such as hydrocephalus and shunt-related craniosynostosis, due to intracranial volume reduction. Isolation method (disconnection surgery) was progressively studied over epileptic focus removal (resective surgery) for seizure control. This concept was first introduced for functional hemispherotomy, and its primary principle is to preserve the vital vascularized brain that is functionally disconnected from the contralateral healthy brain. Currently in most epilepsy centers, the predominant disconnection surgical methods, including functional hemispherotomy, are continually being refined and are showing excellent results. They allow the functional isolation of the hemisphere or multi-lobe, affected by severe epilepsy. This review describes recent findings concerning the indication, surgical technique, seizure outcome and complications in several disconnection surgeries including the functional hemispherotomy for refractory pediatric epilepsy.
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등록된 정보가 없습니다.
참고문헌 (44)
참고문헌 신청
Bahuleyan B / 2010 / Minimally invasive endoscopic transventricular hemispherotomy for medically intractable epilepsy: a new approach and cadaveric demonstration / J Neurosurg Pediatr 6:536~540
Basheer SN / 2007 / Hemispheric surgery in children with refractory epilepsy:seizure outcome, complications, and adaptive function / Epilepsia 48:133~140
Battaglia D / 1999 / Neuro-cognitive development and epilepsy outcome in children with surgically treated hemimegalencephaly / Neuropediatrics 30:307~313
Boshuisen K / 2010 / Contralateral MRI abnormalities affect seizure and cognitive outcome after hemispherectomy / Neurology 75:1623~1630
Bulteau C / 2013 / Epilepsy surgery for hemispheric syndromes in infants: hemimegalencepahly and hemispheric cortical dysplasia / Brain Dev 35:742~747
Basheer SN / 2007 / Hemispheric surgery in children with refractory epilepsy:seizure outcome, complications, and adaptive function / Epilepsia 48:133~140
Battaglia D / 1999 / Neuro-cognitive development and epilepsy outcome in children with surgically treated hemimegalencephaly / Neuropediatrics 30:307~313
Boshuisen K / 2010 / Contralateral MRI abnormalities affect seizure and cognitive outcome after hemispherectomy / Neurology 75:1623~1630
Bulteau C / 2013 / Epilepsy surgery for hemispheric syndromes in infants: hemimegalencepahly and hemispheric cortical dysplasia / Brain Dev 35:742~747
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