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Lay Summary

Hemispherotomy for Drug-resistant Hemispheric Epilepsy in Indonesian Population

Hemispherotomy is a surgical treatment indicated in drug-resistant epilepsy with unilateral


hemispheric pathology. Compared to hemispherectomy, hemispherotomy is considered less a
invasive procedure with fewer complications. We are reporting the hemispherotomy performed in
our centers in Indonesia during 20 years period with follow-up duration spanning from 24 to 160
months. Surgical techniques included vertical parasagittal approach, peri-insular hemispherotomy,
and modified PIH called Shimizu approach. Our series is the largest documentation of
hemispherotomy in Indonesian population with seizure freedom rate 62.5%, and 81.3% of patients
showed improved symptoms.

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