Top
15
Doctor insights on: Hemispherectomy

Share
1

1
Can you tell me about left hemispherectomy?

Can you tell me about left hemispherectomy?

Hemispherectomy: A hemispherectomy is a procedure where the left hemisphere of the brain is removed or disconnected from the brain. It is primarily used for treatment of certain types of seizure disorders. ...Read more

2

2
Has anyone had a successful left hemispherectomy?

Left side of: The brain speech function, calculation, optic radiations, personality. Rarely done. Natural occurence has observed some incredible function in the very young. Do not know of reports of success or rates of failure. ...Read more

3

3
What happens if you were to have a hemispherectomy?

Hemispherectomy: Hermispherectomy is a surgical resection where one brain hemisphere is removed, most commonly for seizures. In the younger patients where the brain still has some plasticity the recovery can actually be quite good. ...Read more

4

4
Hemispherectomy on a young child, is this okay?

Hemispherectomy on a young child, is this okay?

Very good question: This type of drastic surgical treatment of intractable epilepy is considered after all other medical treatments fail. Your neurologist/neurosurgeon can give you an answer regarding reasonable expectation of surgical outcome. ...Read more

5

5
Question about hemispherectomy. Can you be paralyzed from it?

Question about hemispherectomy. Can you be paralyzed from it?

Yes: More likely than paralysis on the opposite side of the body is weakness or loss of fine finger movement or coordination. There is always a loss of visual fields on the opposite side. The degree of weakness is related, in part, to the age of the patient. The younger it is done, the less the ultimate weakness seen. ...Read more

6

6
Epilepsy the only reason for hemispherectomy?

Epilepsy the only reason for hemispherectomy?

No: Children with hemiparesis secondary to porencephaly or focal/hemispheric malformations such as hemimegalencephaly or sturge-weber syndrome are candidates as well. ...Read more

7

7
How much of the brain is removed during hemispherectomy?

One-half: The brain. Other side will not function; dominat side may cause lack of speech. Rarely done. Natural occurence has observed some incredible function. ...Read more

8

8
My child still has seizures. What are risks of hemispherectomy?

My child still has seizures. What are risks of hemispherectomy?

Talk to neurosurgeon: The fact that a hemispherectomy is a consideration indicates your child has intractable seizures. Hopefully the best outcome from a hemispherectomy would be stopping seizures. I would talk to the surgeon about the risks. Removing a large part of the brain would result in weakness even paralysis. Surgeon would know that most as he is the one doing the procedure. ...Read more

9

9
What's the difference between a hemispherectomy and the split brain procedure?

Location: Hemispherectomy is the removal of one half of the brain (left or right side) whereas the split brain procedure is disconnecting the left and right sides of the brain from communicating by cutting the fibers of the corpus callosum. ...Read more

10

10
Please let me know if there is a difference between a hemispherectomy and the split brain procedure?

Please let me know if there is a difference between a hemispherectomy and the split brain procedure?

Hemispherectomy: Hemispherectomy is a removal or a disconnection of one of the hemispheres of the brain, of which you have two. A split brain procedure is when the surgeon cuts the nerve fibers that connect the two hemispheres together - a structure called the corpus callosum. Both procedures are used in the treatment of severe intractable epilepsy. ...Read more

11

11
Supposing you have a hemispherectomy (half of your brain removed). What would they fill the space with?

Supposing you have a hemispherectomy (half of your brain removed). What would they fill the space with?

Hemispherectomy: Soem of the brain from the other side expands into the space but the space is mostly filled with cerebrospinal fluid, the fluid that brain resides in. ...Read more

12

12
I get epilepsy care but i still have seizures. How about hemispherectomy?

I get epilepsy care but i still have seizures. How about hemispherectomy?

Children: So-called "functional hemispherectomy" is typically done in very young children, not adults. Other surgical techniques are used in adults with intractable epilepsy. ...Read more

13

13
After a hemispherectomy is performed, what is used to fill the skull where the brain portion was removed?

Hemispherectomy: Nothing is placed in the space where the hemispherectomy was performed. The space fills with normal spinal fluid ...Read more

15

15
Can atropine drops correct an eye that has peripheral vision loss from a hemispherectomy?

Can atropine drops correct an eye that has peripheral vision loss from a hemispherectomy?

Not really: Remember that the visual loss does not originate in the eye ( think of a normal video camera as the eye) but in the brain ( think of a bad video cable sending only half the message). Opening up the lens aperture wider does not send an image through the defective portion of the cable. ...Read more