Posterior Quadrant Disconnection Procedure for Intractable Epilepsy: A Case Series of 5 Young Pediatric Patients.
Smruti K PatelJustin L GibsonMykhailo LovhaJames L LeachRavindra AryaJeffrey R TenneyKatherine D HollandGewalin AungaroonHansel M GreinerJesse SkochFrancesco T ManganoPublished in: Operative neurosurgery (Hagerstown, Md.) (2022)
Our early results demonstrate that complete PQD can be successful at providing excellent seizure freedom and functional outcomes in carefully selected young pediatric patients who have concordant seizure semiology, noninvasive/invasive testing, and imaging findings with primary seizure onset zone within the ipsilateral posterior quadrant. Meticulous surgical planning and thorough understanding of the surgical anatomy and technique are critical to achieving complete disconnection.