Hemispherotomy is a less invasive surgical treatment than hemispherectomy for drug-resistant epilepsy affecting one hemisphere of the brain. The document reports on hemispherotomies performed in centers in Indonesia over 20 years on patients followed for 24 to 160 months post-surgery. The surgery techniques used vertical parasagittal, peri-insular hemispherotomy, and modified peri-insular approaches. Seizure freedom was achieved in 62.5% of patients and 81.3% showed overall improved symptoms, making it the largest report of hemispherotomy outcomes for the Indonesian population.
Hemispherotomy is a less invasive surgical treatment than hemispherectomy for drug-resistant epilepsy affecting one hemisphere of the brain. The document reports on hemispherotomies performed in centers in Indonesia over 20 years on patients followed for 24 to 160 months post-surgery. The surgery techniques used vertical parasagittal, peri-insular hemispherotomy, and modified peri-insular approaches. Seizure freedom was achieved in 62.5% of patients and 81.3% showed overall improved symptoms, making it the largest report of hemispherotomy outcomes for the Indonesian population.
Hemispherotomy is a less invasive surgical treatment than hemispherectomy for drug-resistant epilepsy affecting one hemisphere of the brain. The document reports on hemispherotomies performed in centers in Indonesia over 20 years on patients followed for 24 to 160 months post-surgery. The surgery techniques used vertical parasagittal, peri-insular hemispherotomy, and modified peri-insular approaches. Seizure freedom was achieved in 62.5% of patients and 81.3% showed overall improved symptoms, making it the largest report of hemispherotomy outcomes for the Indonesian population.
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.