International Journal of Epilepsy 2016; 03(01): 42-62
DOI: 10.1016/j.ijep.2015.12.026
Abstracts
Thieme Medical and Scientific Publishers Private Ltd. 2017

Hemispherotomy for syndrome and hemispheric epilepsy experience in Surabaya, Indonesia

Heri Subianto
1   Neurosurgery Department, Faculty of Medicine, Airlangga University/Dr Soetomo General Hospital, Surabaya, Indonesia
,
Wihasto Suryaningtyas
1   Neurosurgery Department, Faculty of Medicine, Airlangga University/Dr Soetomo General Hospital, Surabaya, Indonesia
,
Achmad Fahmi
1   Neurosurgery Department, Faculty of Medicine, Airlangga University/Dr Soetomo General Hospital, Surabaya, Indonesia
,
Agus Turchan
1   Neurosurgery Department, Faculty of Medicine, Airlangga University/Dr Soetomo General Hospital, Surabaya, Indonesia
› Author Affiliations

Subject Editor:
Further Information

Publication History

Publication Date:
12 May 2018 (online)

Hemispherotomy is a procedure to disconnect the hemisphere of the brain. This procedure provides the highest rate of seizure control (average 77–80%, class I Engel) when performed in the right properly indicated patients. Hemispherotomy has two major techniques, a vertical parasagittal approach that has been described by Delalande and peri-insular approach described by Villemure. There are various number of techniques that have been developed based on the two major techniques which have less invasive procedure. We present our experience in treating intractable epilepsy that has been operated using hemispherotomy procedure from 2010 until 2014 in Neurosurgery Department, Faculty of Medicine, Airlangga University, Surabaya, Indonesia. We have five cases: Rasmussen's syndrome, West syndrome, Hemimegalencephaly, Proteus syndrome and Status epilepticus. All patients underwent workup for epilepsy surgery before the procedure.