Disconnective Hemispherotomy for Medically Intractable Status Epilepticus in an 8-Year-Old Child.

Abstract

We report here the unusual case of an 8-year-old child with left hemispheric focal epilepsy secondary to a perinatal infarction who presented with new onset absence seizures and eventual nonconvulsive status epilepticus that was refractory to medical management. Following review at our multidisciplinary Epilepsy Surgery conference, the patient underwent disconnective surgical hemispherotomy with immediate cessation of his seizures; and has remained seizure-free at 4 months following surgery. In this context, we present here an overview of hemispherectomy and related procedures, including peri-insular disconnective hemispherotomy, and we discuss the efficacy of surgery for challenging hemispheric epilepsies.

• Authors: Lucas Bradley, Diaa Bahgat, Gregory Sharp, Erin Willis, Eylem Ocal, Gregory Albert, Demitre Serletis
• Journal: The Journal of the Arkansas Medical Society (J Ark Med Soc) Vol. 112 Issue 6 Pg. 86-7 (Oct 2015) ISSN: 0004-1858 [Print] United States
• PMID: 26552284 (Publication Type: Case Reports, Journal Article)

Topics

• Cerebral Palsy (complications)
• Child
• Developmental Disabilities (etiology)
• Hemispherectomy (methods)
• Humans
• Male
• Status Epilepticus (diagnosis, etiology, surgery)
• Treatment Outcome