Vertical Parasagittal Hemispherotomy in a Pediatric Case of Epilepsy Due to Rasmussen Encephalitis: 2-Dimensional Operative Video.

Autor:	De Benedictis A; Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Pepi C; Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, European Reference Network EpiCARE, Rome, Italy., Herur-Raman A; George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA., Barba M; Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Marasi A; Functional and Interventional Neuroradiology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Rossi-Espagnet MC; Neuroradiology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Napolitano A; Medical Physics Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Rossi S; Pathology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Luglietto D; Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.; Department of Electrical Engineering and Information Technology (DIETI), Federico II University, Naples, Italy., Capelli S; Division of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.; Division of Neurosurgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy., Zanus C; Institute for Maternal and Child Health - IRCCS 'Burlo Garofolo', Trieste, Italy., Savioli A; Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., de Palma L; Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, European Reference Network EpiCARE, Rome, Italy., Specchio N; Epilepsy and Movement Disorders Unit, Bambino Gesù Children's Hospital, IRCCS, European Reference Network EpiCARE, Rome, Italy., Marras CE; Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Jazyk:	angličtina
Zdroj:	Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2024 Jul 05. Date of Electronic Publication: 2024 Jul 05.
DOI:	10.1227/ons.0000000000001261
Abstrakt:	Hemispherotomy is an effective disconnection technique for the treatment of different forms of drug-resistant epilepsy due to encephalopathies with unilateral hemispheric involvement.1-8 We describe the case of a 6-year-old child affected by Rasmussen encephalitis who underwent right vertical parasagittal hemispherotomy.9 The goal of the procedure was to isolate the basal ganglia region by interrupting the interhemispheric and intrahemispheric white matter connectivity. The main surgical steps include the transcortical approach to the lateral ventricle, the posterior callosotomy, the fimbria-fornix incision, the laterothalamic vertical incision, the anterior callosotomy, the frontobasal disconnection, and the transcaudate lateral incision to the anterior temporal horn.7,10 At 10-month follow-up, the patient was seizure free with a stable left hemiparesis. The antiepileptic therapy was progressively interrupted. The video describes the main surgical steps, using both intraoperative videos and advanced three-dimensional modeling of neuroimaging pictures. Patient' parents consented to the procedure. The participants and any identifiable individuals consented to publication of his/her image. Approval from the ethics committee was acquired. (Copyright © Congress of Neurological Surgeons 2024. All rights reserved.)
Databáze:	MEDLINE
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