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Modified Peri-Insular Hemispherotomy in Pediatric Epilepsy: A Non-Middle Cerebral Artery Sparing Approach: 2-Dimensional Operative Video

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dc.contributor.author Cicutti, Santiago E.
dc.contributor.author Gromadzyn, Guido P.
dc.contributor.author Cuello, Javier F.
dc.contributor.author Villamil, Facundo
dc.contributor.author Bartuluchi, Marcelo
dc.date.accessioned 2024-10-08T13:53:24Z
dc.date.available 2024-10-08T13:53:24Z
dc.date.issued 2024-08-26
dc.identifier.citation Cicutti SE, Gromadzyn GP, Cuello JF, Villamil F, Bartuluchi M. Modified Peri-Insular Hemispherotomy in Pediatric Epilepsy: A Non-Middle Cerebral Artery Sparing Approach: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown). 2024 Aug 26. doi: 10.1227/ons.0000000000001327. Epub ahead of print. es_ES
dc.identifier.uri https://doi.org/10.1227/ons.0000000000001327
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/1210
dc.description.abstract Hemispherectomy is a highly complex procedure that demands a steep learning curve and requires precision for successful seizure control.1-5 The aim of this operative technique video was to present a modified peri-insular hemispherotomy for pediatric epilepsy. Our case involves a 14-year-old adolescent with Rasmussen Syndrome and intractable seizures, undergoing a technique that involved 7 stages: patient position and surgical approach, opercular resection with ligation of the middle cerebral artery in the proximal sylvian fissure, transventricular callosotomy, fronto-orbital disconnection, anterior temporal disconnection, posterior temporal disconnection, and closure. Twelve months postsurgery, the patient achieved Engel I status with complete seizure freedom, improved hemiparesis (Gross Motor Function Classification System II), and enhanced neurocognition, as confirmed by the treating neurologist. Our findings underscore the potential benefits of this modified technique inmanaging pediatric epilepsy. The patient and her parents providedwritten consent for the surgical procedure and for the publication of her video and images. Appropriate consent was obtained for the publication of the cadaveric images. This study did not require an Institutional Review Board review because it was based exclusively on the retrospective analysis of previously collected anonymized data, in accordance with relevant regulations es_ES
dc.language.iso eng es_ES
dc.publisher Lippincott Williams & Wilkins es_ES
dc.subject Epilepsia es_ES
dc.subject Epilepsy es_ES
dc.subject Child es_ES
dc.subject Niño es_ES
dc.subject Neurocirugia es_ES
dc.subject Neurosurgery es_ES
dc.title Modified Peri-Insular Hemispherotomy in Pediatric Epilepsy: A Non-Middle Cerebral Artery Sparing Approach: 2-Dimensional Operative Video es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.description.fil Fil: Villamil, Facundo. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Cicutti, Santiago E. Garrahan Hospital. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Bartuluchi, Marcelo. Garrahan Hospital. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Cuello, Javier F. Hospital Provincial Petrona V. de Cordero. Departamento de Neurocirugía; Argentina.
dc.relation.ispartofCOUNTRY Estados Unidos
dc.relation.ispartofCITY Filadelfia
dc.relation.ispartofTITLE Operative neurosurgery
dc.relation.ispartofISSN 2332-4260
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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