Long-term follow-up in children with functional hemispherectomy for Rasmussen's encephalitis
Long-term follow-up in children with functional hemispherectomy for Rasmussen's encephalitis
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DOI：
10.1007/s00381-005-1136-2
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发表时间：
2005-06-01
影响因子：
1.4
通讯作者：
Oakes, W
中科院分区：
文献类型：
--
作者：
Tubbs, RS;Nimjee, SM;Oakes, W
大脑半球切除术已经有60多年的历史了。自Rasmussen开始以来，已经进行了多种功能性半球切除术。医学文献中缺乏对这些变异的长期随访。方法：我们回顾了5例拉斯穆森脑炎患儿的长期随访，他们接受了功能性半球切除术的修改。结果：该队列的随访时间为13至23年（平均15.6年）。所有患者的癫痫发作均立即完全消除。只有1例患者接受了脑室腹腔分流术。所有病人都能自己走动。经过多年的治疗，这组患者仍然没有癫痫发作。
Introduction: Cerebral hemispherectomy has been performed for over 60 years. Multiple variations of functional hemispherectomy have been performed since its inception by Rasmussen. Long-term follow-up for these variations is lacking in the medical literature. Methods: We review the long-term follow-up for five children with Rasmussen's encephalitis who underwent a modification of functional hemispherectomy. Results: The length of follow-up for this cohort ranged from 13 to 23 years (mean 15.6 years). All patients experienced immediate and complete elimination of seizures. Only one patient underwent ventriculoperitoneal shunt placement. All patients are capable of ambulating on their own. Many years following their procedures, this cohort of patients remains seizure free.