From Resection to Disconnection for Seizure Control in Pediatric Epilepsy Children.

Abstract:

:Epilepsy surgery revealed dramatically improved seizure outcomes over medical therapy in drug-resistant epilepsy patients. Children with epilepsy, however, have multiple epileptic focuses which require multilobar resection for better seizure outcome. Multilobar resection has not only the several severe surgical complications, such as hydrocephalus and shunt-related craniosynostosis, due to intracranial volume reduction. Isolation method (disconnection surgery) was progressively studied over epileptic focus removal (resective surgery) for seizure control. This concept was first introduced for functional hemispherotomy, and its primary principle is to preserve the vital vascularized brain that is functionally disconnected from the contralateral healthy brain. Currently in most epilepsy centers, the predominant disconnection surgical methods, including functional hemispherotomy, are continually being refined and are showing excellent results. They allow the functional isolation of the hemisphere or multi-lobe, affected by severe epilepsy. This review describes recent findings concerning the indication, surgical technique, seizure outcome and complications in several disconnection surgeries including the functional hemispherotomy for refractory pediatric epilepsy.

journal_name

J Korean Neurosurg Soc

authors

Hwang JK,Kim DS

doi

10.3340/jkns.2019.0031

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

336-343

issue

3

eissn

2005-3711

issn

1598-7876

pii

jkns.2019.0031

journal_volume

62

pub_type

杂志文章
  • Retrospective analysis on 76 cases of cerebral arteriovenous malformations treated by gamma knife radiosurgery.

    abstract:OBJECTIVE:Outcome of gamma knife radiosurgery (GKS) in the consecutive 100 cases with cerebral arteriovenous malformations (AVMs) was analyzed. METHODS:Data from initial 100 patients treated with GKS in the authors' institute were reviewed retrospectively. Spetzler-Martin grade at diagnosis were I in 18 patients, II i...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.43.6.265

    authors: Choe JG,Im YS,Kim JS,Hong SC,Shin HJ,Lee JI

    更新日期:2008-06-01 00:00:00

  • Analyses Using Micro-CT Scans and Tissue Staining on New Bone Formation and Bone Fusion According to the Timing of Cranioplasty via Frozen Autologous Bone Flaps in Rabbits : A Preliminary Report.

    abstract:OBJECTIVE:The timing of cranioplasty and method of bone flap storage are known risk factors of non-union and resorption of bone flaps. In this animal experimental study, we evaluated the efficacy of cranioplasty using frozen autologous bone flap, and examined whether the timing of cranioplasty after craniectomy affects...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.57.4.242

    authors: Shin HS,Lee DW,Lee SH,Koh JS

    更新日期:2015-04-01 00:00:00

  • Spinal intradural extramedullary cavernoma presenting with intracranial superficial hemosiderosis.

    abstract::A case of intradural extramedullary cavernous angioma is presented with headache, dizziness, and bilateral sensorineural hearing loss caused by an intracranial superficial hemosiderosis. It was incidentally found in a patient with a 3-month history of sustained headache, dizziness and a 3-year history of hearing diffi...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.49.6.377

    authors: Jin YJ,Chung SB,Kim KJ,Kim HJ

    更新日期:2011-06-01 00:00:00

  • The effects of propofol and thiopental continuous infusion on serum potassium disturbances in neurosurgical patients.

    abstract:OBJECTIVE:The potassium disturbance associated with thiopental continuous infusion in neurosurgical patients is well known. However, the effect of propofol continuous infusion on serum potassium levels has not been investigated extensively. METHODS:We reviewed the medical records of 60 consecutive patients who receive...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.57.3.197

    authors: Kim TK,Lim YJ,Ju JW,Kim JW,Park HP

    更新日期:2015-03-01 00:00:00

  • Parasellar Extension Grades and Surgical Extent in Endoscopic Endonasal Transsphenoidal Surgery for Pituitary Adenomas : A Single Surgeon's Consecutive Series with the Aspects of Reliability and Clinical Validity.

    abstract:OBJECTIVE:The inter-rater reliability of the modified Knosp's classification was measured before the analysis. The clinical validity of the parasellar extension grading system was evaluated by investigating the extents of resection and complication rates among the grades in the endoscopic endonasal transsphenoidal surg...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2016.59.6.577

    authors: Lee SH,Park JS,Lee S,Kim SW,Hong YK

    更新日期:2016-11-01 00:00:00

  • Concurrent Ruptured Pseudoaneurysm of the Internal Carotid Artery and Cerebral Infarction as an Initial Manifestation of Polycythemia Vera.

    abstract::The most common neurologic manifestations of polycythemia vera (PV) are cerebral infarction and transient ischemic attacks, while cerebral hemorrhage or intracranial dissection has been rarely associated with PV. Here we report the first case of a 59-year-old patient with intracranial supraclinoid internal carotid art...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2015.58.2.137

    authors: Choi KS,Kim JM,Ryu JI,Oh YH

    更新日期:2015-08-01 00:00:00

  • Meningeal layers around anterior clinoid process as a delicate area in extradural anterior clinoidectomy : anatomical and clinical study.

    abstract:OBJECTIVE:Removal of the anterior clinoid process (ACP) is an essential process in the surgery of giant or complex aneurysms located near the proximal internal carotid artery or the distal basilar artery. An extradural clinoidectomy must be performed within the limits of the meningeal layers surrounding the ACP to prev...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2012.52.4.391

    authors: Yoon BH,Kim HK,Park MS,Kim SM,Chung SY,Lanzino G

    更新日期:2012-10-01 00:00:00

  • Extended Pneumocephalus after Drainage of Chronic Subdural Hematoma Associated with Intracranial Hypotension : Case Report with Pathophysiologic Consideration.

    abstract::Chronic subdural hematoma (SDH) is a well-known disease entity and is traditionally managed with surgery. However, when associated with spontaneous intracranial hypotension (SIH), the treatment strategy ought to be modified, as classical treatment could lead to unwanted consequences. A 59-year-old man presented with a...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2016.59.1.69

    authors: Shin HS,Lee SH,Ko HC,Koh JS

    更新日期:2016-01-01 00:00:00

  • Long Term Efficacy of Posterior Lumbar Interbody Fusion with Standard Cages alone in Lumbar Disc Diseases Combined with Modic Changes.

    abstract:OBJECTIVE:Posterior lumbar interbody fusion (PLIF) is considered to have the best theoretical potential in promoting bony fusion of unstable vertebral segments by way of a load sharing effect of the anterior column. This study was undertaken to investigate the efficacy of PLIF with cages in chronic degenerative disc di...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2009.46.4.322

    authors: Kwon YM,Chin DK,Jin BH,Kim KS,Cho YE,Kuh SU

    更新日期:2009-10-01 00:00:00

  • Pleomorphic xanthoastrocytoma with an intracystic hemorrhage : a case report and literature review.

    abstract::Pleomorphic xanthoastrocytoma (PXA) has been considered as a low grade tumor of adolescents and young adults. Although this tumor often shows cystic component, the hemorrhage within the cyst is extremely rare. The authors report a rare case of cystic PXA with a hemorrhage within the cyst and the mural nodule in the le...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2007.42.5.410

    authors: Lee DK,Cho KT,Im SH,Hong SK

    更新日期:2007-11-01 00:00:00

  • Bioglue-Coated Teflon Sling Technique in Microvascular Decompression for Hemifacial Spasm Involving the Vertebral Artery.

    abstract:OBJECTIVE:Microvascular decompression (MVD) for hemifacial spasm (HFS) involving the vertebral artery (VA) can be technically challenging. We investigated the therapeutic effects of a bioglue-coated Teflon sling technique on the VA during MVD in 42 cases. METHODS:A bioglue-coated Teflon sling was crafted by the surgeo...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2016.59.5.505

    authors: Lee SH,Park JS,Ahn YH

    更新日期:2016-09-01 00:00:00

  • Deep brain stimulation of the subthalamic area for dystonic tremor.

    abstract::The stereotactic surgical target for dystonic tremor is the subject of ongoing debate. Targeting the subthalamic area using deep brain stimulation has been regaining interest as a therapy for various types of involuntary movements. We describe the efficacy of stimulation of the subthalamic area in a patient with intra...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2009.45.5.303

    authors: Jeong SG,Lee MK,Lee WH,Ghang CG

    更新日期:2009-05-01 00:00:00

  • Intracranial plasma cell granuloma.

    abstract::Plasma cell granuloma is a tumor-like disease characterized by non-neoplastic polyclonal proliferation of plasma cells and other mononuclear cells. This disease occurs most frequently in the lung and upper respiratory tract, while the involvement of the central nervous system is very rare. A 44-year-old female patient...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2009.46.2.161

    authors: Kim DJ,Choi YS,Song YJ,Kim KU

    更新日期:2009-08-01 00:00:00

  • Spinal epidural hematoma after pain control procedure.

    abstract::Spinal epidural hematoma is a rare complication associated with pain control procedures such as facet block, acupuncture, epidural injection, etc. Although it is an uncommon cause of acute myelopathy, and it may require surgical evacuation. We report four patients with epidural hematoma developed after pain control pr...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2010.48.3.281

    authors: Nam KH,Choi CH,Yang MS,Kang DW

    更新日期:2010-09-01 00:00:00

  • Angiographic and Clinical Factors Related with Good Functional Outcome after Mechanical Thrombectomy in Acute Cerebral Artery Occlusion.

    abstract:OBJECTIVE:The aim of this study is to investigate good prognostic factors for an acute occlusion of a major cerebral artery using mechanical thrombectomy. METHODS:Between January 2013 to December 2014, 37 consecutive patients with acute occlusion of a major cerebral artery treated by mechanical thrombectomy with stent...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.58.3.192

    authors: Park JH,Han YM,Jang KS,Yoon WS,Jang DK,Park SK

    更新日期:2015-09-01 00:00:00

  • Dynamic lumbar spinal stenosis : the usefulness of axial loaded MRI in preoperative evaluation.

    abstract::Two cases of dynamic lumbar spinal stenosis were identified by the authors using axial loaded magnetic resonance image (MRI). In both cases, the patients presented with neurogenic claudication but MRI in decumbency showed no definite pathologic condition associated with their symptoms. In contrast, axial loaded MRI de...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2009.46.3.265

    authors: Choi KC,Kim JS,Jung B,Lee SH

    更新日期:2009-09-01 00:00:00

  • The role of f-fluorodeoxyglucose positron emission tomography in the treatment of brain abscess.

    abstract:OBJECTIVE:The purpose of this study was to evaluate whether (18)F-fluorodeoxyglucose positron emission tomography (FDG-PET) can be used to assess the therapeutic response of brain abscess. METHODS:A study was conducted on 10 consecutive patients with brain abscess. Magnetic resonance imaging (MRI) with diffuse-weighte...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2011.49.5.278

    authors: Park SH,Lee SW,Kang DH,Hwang JH,Sung JK,Hwang SK

    更新日期:2011-05-01 00:00:00

  • Effect of Device Rigidity and Physiological Loading on Spinal Kinematics after Dynamic Stabilization : An In-Vitro Biomechanical Study.

    abstract:OBJECTIVE:To investigate the effects of posterior implant rigidity on spinal kinematics at adjacent levels by utilizing a cadaveric spine model with simulated physiological loading. METHODS:Five human lumbar spinal specimens (L3 to S1) were obtained and checked for abnormalities. The fresh specimens were stripped of m...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.58.5.412

    authors: Chun K,Yang I,Kim N,Cho D

    更新日期:2015-11-01 00:00:00

  • Comparative Study of Posterior Lumbar Interbody Fusion via Unilateral and Bilateral Approaches in Patients with Unilateral Leg Symptoms.

    abstract:OBJECTIVE:We investigated the clinical and radiological advantages of unilateral laminectomy in posterior lumbar interbody fusion (PLIF) procedure comparing with bilateral laminectomy, under the same procedural condition including bilateral instrumentation and insertion of two cages, in patients with degenerative lumba...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2011.50.4.363

    authors: Seong JH,Lee JW,Kwon KY,Rhee JJ,Hur JW,Lee HK

    更新日期:2011-10-01 00:00:00

  • Clinical and neuroimaging outcomes of surgically treated intracranial cysts in 110 children.

    abstract:OBJECTIVE:The indications and optimal surgical treatments for intracranial cysts are controversial. In the present study, we describe long-term clinical and neuroimaging results of surgically treated intracranial cysts in children. The goal of this study is to contribute to the discussion of the debate. METHODS:This s...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2012.52.4.325

    authors: Lee EJ,Ra YS

    更新日期:2012-10-01 00:00:00

  • The proper volume and distribution of cement augmentation on percutaneous vertebroplasty.

    abstract:OBJECTIVE:The purpose of this study was to determine the optimal volume of injected cement and its distribution when used to treat vertebral compression fractures, and to identify factors related to subsequent vertebral fractures. METHODS:A retrospective analysis of newly developing vertebral fractures after percutane...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2010.48.2.125

    authors: Kim DJ,Kim TW,Park KH,Chi MP,Kim JO

    更新日期:2010-08-01 00:00:00

  • Aneurysmal rebleeding : factors associated with clinical outcome in the rebleeding patients.

    abstract:OBJECTIVE:Aneurysmal rebleeding is a major cause of death and disability. The aim of this study is to investigate the incidence of rebleeding, and the factors related with patient's outcome. METHODS:During a period of 12 years, from September 1995 to August 2007, 492 consecutive patients with aneurysmal subarachnoid h...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2010.47.2.119

    authors: Cha KC,Kim JH,Kang HI,Moon BG,Lee SJ,Kim JS

    更新日期:2010-02-01 00:00:00

  • Comparison of Fusion Rate between Demineralized Bone Matrix versus Autograft in Lumbar Fusion : Meta-Analysis.

    abstract::The demineralized bone matrix (DBM) as the bone graft material to increase the fusion rate was widely used in spinal fusion. The current study aimed to compare the fusion rate of DBM to the fusion rate of autograft in lumbar spine fusion via meta-analysis of published literature. After systematic search, comparative s...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2019.0185

    authors: Han S,Park B,Lim JW,Youm JY,Choi SW,Kim DH,Ahn DK

    更新日期:2020-11-01 00:00:00

  • Sacral insufficiency fracture, usually overlooked cause of lumbosacral pain.

    abstract::Sacral insufficiency fractures are usually known to develop in elderly patients with osteoporosis without definite trauma history. It is difficult to diagnose the sacral insufficiency fracture at an early stage because lower lumbar diseases, concurrently or not, may also be presented with similar symptoms and signs. W...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2008.44.3.166

    authors: Lee YJ,Bong HJ,Kim JT,Chung DS

    更新日期:2008-09-01 00:00:00

  • Emergent Endovascular Embolization for Iatrogenic Vertebral Artery Injury during Cervical Discectomy and Fusion.

    abstract::Injury to the vertebral artery during anterior cervical discectomy is rare but potentially fatal. We report a case of cerebellar infarction after endovascular embolization for iatrogenic vertebral artery injury at C5-C6 during an anterior cervical discectomy and fusion. A 61-year-old man had an intraoperative injury o...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.50.6.520

    authors: Jung HJ,Kim DM,Kim SW,Lee SM

    更新日期:2011-12-01 00:00:00

  • Development of 'De novo' Aneurysm after Therapeutic Carotid Occlusion.

    abstract::Carotid occlusion is an inevitable therapeutic modality for the treatment of complex aneurysms such as giant, traumatic, and intracavernous aneurysms. Late complications of carotid occlusion include 'de novo' aneurysm formation at a distant site because of hemodynamic changes in the circle of Willis. We report a case ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2009.45.4.236

    authors: Jin SC,Choi CG,Kwon DH

    更新日期:2009-04-01 00:00:00

  • Trends in the Incidence and Treatment of Cerebrovascular Diseases in Korea : Part II. Cerebral Infarction, Cerebral Arterial Stenosis, and Moyamoya Disease.

    abstract:OBJECTIVE:To analyze trends in the incidence and treatment of diseases associated with ischemic stroke, namely, cerebral infarction (CI), cerebral arterial stenosis (CASTN), and moyamoya disease (MMD), based on Korean National Health Insurance Service (NHIS) data from 2008 to 2016. METHODS:Data was extracted from the ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2018.0182

    authors: Lee SU,Kim T,Kwon OK,Bang JS,Ban SP,Byoun HS,Oh CW

    更新日期:2020-01-01 00:00:00

  • Long term results of microsurgical dorsal root entry zonotomy for upper extremity spasticity.

    abstract:OBJECTIVE:The purpose of the present study is to assess the long-term results of microsurgical dorsal root entry zonotomy (MDT) for the treatment of medically intractable upper-extremity spasticity. METHODS:The records of nine adult patients who underwent MDT by one operating neurosurgeon from March 1999 to June 2004 ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.43.4.182

    authors: Hong JC,Kim MS,Chang CH,Kim SW,Kim OL,Kim SH

    更新日期:2008-04-01 00:00:00

  • Intracranial extraskeletal myxoid chondrosarcoma : case report and literature review.

    abstract::Intracranial extraskeletal myxoid chondrosarcoma is extremely rare, with only seven patients previously reported. We present a case report of a 21-year-old woman admitted for weakness in her right extremities and symptoms of increased intracranial pressure. Magnetic resonance imaging (MRI) revealed hydrocephalus and a...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2012.52.3.246

    authors: Park JH,Kim MJ,Kim CJ,Kim JH

    更新日期:2012-09-01 00:00:00

  • Transcortical Endoscopic Surgery for Intraventricular Lesions.

    abstract::To review recent advances in endoscopic techniques for treating intraventricular lesions via transcortical passage. Articles in PubMed published since 2000 were searched using the keywords 'endoscopy,' 'endoscopic,' and 'neuroendoscopic.' Of these articles, those describing intraventricular lesions were reviewed. Supr...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章,评审

    doi:10.3340/jkns.2017.0101.008

    authors: Kim MH

    更新日期:2017-05-01 00:00:00