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Treatment of intractable epilepsy by improved anatomy hemispherectomy |
ZHONG Jianwei1,SUN Yongfeng1, YUAN Jun1, GU Zhiming1,LI Yuhuan1, ZHAI Weidong1, and DAI Guanghui2 |
1.Department of Neurosurgery, Beijing Municipal Corps Hospital, Chinese People’s Armed Police Forces, Beijing 100027, China; 2 Department of Cell Transplantation, General Hospital of Chinese People’s Armed Police Forces, Beijing 100039,China |
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Abstract Objective To study the clinical effectiveness of improved anatomy hemispherectomy for patients with intractable epilepsy. Methods Twelve patients with intractable epilepsy were treated by improved anatomy hemispherectomy. Their clinical results were followedup after operation. Results 12 cases obtained improvement of abnormal behavior, and no significant exacerbation of neurological deficits was observed. During the follow-up, 11 cases attained Engel Ⅰ(92%) and 1 EngelⅡ(8%). No long-term complication was observed. Conclusions For the patients with intractable epilepsy with hemosphere extensive lesions, improved anatomy hemispherectomy can effectively control seizures and obviously improve the prognosis.
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Received: 20 July 2014
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