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Hemispherotomy and other disconnective techniques De Ribaupierre S; Delalande ONeurosurg Focus 2008[Sep]; 25 (3): E14The surgical treatment of intractable epilepsy has evolved as new technical innovations have been made. Hemispherotomy techniques have been developed to replace hemispherectomy in order to reduce the complication rates while maintaining good seizure control. Disconnective procedures are based on the interruption of the epileptic network rather than the removal of the epileptogenic zone. They can be applied to hemispheric pathologies, leading to hemispherotomy, but they can also be applied to posterior quadrant epilepsies, or hypothalamic hamartomas. In this paper, the authors review the literature, present an overview of the historical background, and discuss the different techniques along with their outcomes and complications.|Cerebral Cortex/pathology/*surgery[MESH]|Corpus Callosum/pathology/surgery[MESH]|Epilepsy/pathology/surgery[MESH]|Hamartoma/pathology/surgery[MESH]|Hemispherectomy/adverse effects/*methods/trends[MESH]|Humans[MESH]|Neuroendoscopy/adverse effects/methods/trends[MESH]|Patient Selection[MESH]|Postoperative Complications/etiology/prevention & control[MESH] |
