[Modified hemispherectomy for intractable epilepsy in patients with infantile hemiplegia].

OBJECTIVE

To explore the effectiveness of modified hemispherectomy for intractable epilepsy in patients with infantile hemiplegia.

METHODS

Eighteen cases of patients were treated with modified hemispherectomy and the effectiveness was studied and followed up.

RESULTS

The seizures in all 18 cases of patients were controlled effectively and stopped completely in 16 cases of them, without nervous disfunction worsened. The patients' cerebral peduncles on healthy side were much thicker than those on sick side (t = 58.32, P < 0.001) and healthy peoples' (t = 14.63, P < 0.001) and the patients' cerebral peduncles on sick side were much thinner than those of healthy peoples' (t = 51.27, P < 0.001).

CONCLUSIONS

The modified hemispherectomy can effectively control the seizures of patients with infantile hemiplegia without superficial cerebral hemosiderosis happened.