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Comment to the paper: palliative functional hemispherectomy for treatment of refractory status epilepticus associated with Alpers' disease.

AbstractINTRODUCTION:
Performing epilepsy surgery in a child with a neurodegenerative illness is a relatively unexplored challenge. In this issue of CNS, Lupashko and coauthors report the use of epilepsy surgery to eliminate seizures without influencing the underlying progressive disorder.
METHOD:
Functional hemispherectomy was performed in a 4-year-old girl with seizures caused by Alpers' disease.
RESULTS:
Seizure freedom and an improved quality of life were achieved briefly despite deteriorating neurologic status.
CONCLUSION:
Further studies will be needed to confirm the positive benefits of palliative epilepsy surgery in children with progressive neurologic illnesses.
AuthorsMichael Duchowny
JournalChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (Childs Nerv Syst) Vol. 27 Issue 8 Pg. 1327-8 (Aug 2011) ISSN: 1433-0350 [Electronic] Germany
PMID21667152 (Publication Type: Journal Article, Comment)
Topics
  • Diffuse Cerebral Sclerosis of Schilder (surgery)
  • Female
  • Hemispherectomy
  • Humans
  • Palliative Care (methods)
  • Status Epilepticus (surgery)

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