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KMID : 0359819770060020519
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Journal of Korean Neurosurgical Society
1977 Volume.6 No. 2 p.519 ~ p.523
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A Case of Hemispherectomy for the Treatment of infantile Hemiplegia with Uncontrolled Epilepsy
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Abstract
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Infantile hemiplegia is thee ,end state of various . pathological conditions affecting ihecerebral hemisphere before or during birth, or in first few years of life.: In 1950, Krynauw first reported that total hemispherectomy could be carried out with beneficial results for infantile hemiplegia with uncontrollable convulsion, temper tantrum and mental deficiency. Hemispherectomy is not suitable for all cases of infantile hemiplegia, but it seems clear that it should be undertaken in any case of established infantile hemiplegia with fits which cannot be controlled by drugs, or in which there is backwardness or deterioration in the patient´s intellectual or emotional state.
We have recently experinced a 8-year-old boy who was suffering left hemiplegia with intractable epilepsy. Both carotid angiogram and pneumoencephalogram showed right cerebral hemiatrophy. After right hemispherectomy intractable seizure was controlled and personality disorder disappeared completely. But left hemiplegia wasn´t definitely improved.
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