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NEUROLOGY 1985;35:1351
© 1985 American Academy of Neurology

Interhemispheric commissurotomy for congenital hemiplegics with intractable epilepsy

Robert N. Goodman, BM, BCh, MRCP, Peter D. Williamson, MD, Alexander G. Reeves, MD, Susan S. Spencer, MD, Dennis D. Spencer, MD, Richard H. Mattson, MD and David W. Roberts, MD

From the Departments of Neurology (Drs. Goodman, Williamson, S. Spencer, and Mattson) and Surgery (Neurosurgery) (Dr. D. Spencer), Yale University School of Medicine, New Haven, CT; VA Medical Center (Drs. Williamson, S. Spencer, Mattson, and D. Spencer), West Haven, CT; and Dartmouth Medical School (Drs. Reeves and Roberts), Hanover, NH.

Five patients with congenital hemiplegia and intractable epilepsy had interhemispheric commissurotomy (the split-brain operation). After intervals of 2 to 12 years, the response has been excellent in four cases. One patient had moderate benefit. There were no late complications. Commissurotomy seems to be substantially better than hemispherectomy for this syndrome.

Address correspondence and reprint requests to Dr. Goodman, Maudsley Hospital, Denmark Hill, London SE5, England.

Accepted for publication January 4, 1985.




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 J Child NeurolHome page
R. C. Green, J. R. Adler, and G. Erba
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J Child Neurol, July 1, 1988; 3(3): 155 - 166.
[Abstract] [PDF]


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