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Hemimegalencephaly: A Systematic Comparison of Functional and Anatomic Hemispherectomy for Drug-Resistant Epilepsy.

Keshav GoelAshwin GhadiyaramAsha KrishnakumarFrances T C MordenTate J HigashiharaWilliam B HarrisNathan A ShlobinAndrew WangKrystal KarununganAnwesha DubeyH Westley PhillipsAlexander G WeilAria Fallah
Published in: Neurosurgery (2023)
We show that hemispheric surgery is a highly effective treatment for HME-related DRE. Unilateral ictal electroencephalography changes and using the FH approach as initial surgical management may result in better outcomes due to significantly lower posthemispherectomy hydrocephalus probability. However, larger HME registries are needed to further delineate the predictors of seizure outcomes.
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