Posterior quadrant disconnection for refractory epilepsy: how I do it.
Acta Neurochir (Wien)
; 164(8): 2159-2164, 2022 08.
Article
in En
| MEDLINE
| ID: mdl-35578117
ABSTRACT
BACKGROUND:
Posterior quadrant disconnection (PQD) is intended to interrupt the propagation of intractable unilateral temporo-parieto-occipital epilepsy.METHOD:
An enhanced operative video presents the illustrative case of a total PQD indicated for a 15-year-old boy with Sturge-Weber syndrome suffering from seizure recurrence after a partial PQD. We describe the surgical procedure with emphasis on relevant anatomy and multimodal intraoperative guidance in threesteps:
(i) parieto-occipital disconnection, (ii) posterior callosotomy, and (iii) temporal disconnection/resection. Pearls and pitfalls of surgical management are discussed.CONCLUSION:
PQD is a less invasive surgical option to typical hemispherotomy and hemispherectomy for selected indications of posterior multilobar epilepsy.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Psychosurgery
/
Hemispherectomy
/
Epilepsy
/
Drug Resistant Epilepsy
Limits:
Adolescent
/
Humans
/
Male
Language:
En
Year:
2022
Type:
Article