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Neurology 2002;59:129-131
© 2002 American Academy of Neurology
Brief Communications

Intractable epilepsy in vascular congenital hemiparesis: Clinical features and surgical options

M. Carreño, MD, PhD, P. Kotagal, MD, A. Perez Jiménez, MD, T. Mesa, MD, W. Bingaman, MD and E. Wyllie, MD

From the Departments of Neurology (Drs. Carreño, Kotagal, Perez Jiménez, Mesa, and Wyllie) and Neurosurgery (Dr. Bingaman), Cleveland Clinic Foundation, OH.

Address correspondence and reprint requests to Dr. P. Kotagal, Cleveland Clinic Foundation, Department of Neurology, S-51, Cleveland, OH 44195; e-mail: kotagap{at}ccf.org

Forty-one patients with vascular congenital hemiplegia and intractable epilepsy were reviewed. Most had severe hemiparesis, mental retardation, porencephaly, and focal epilepsy. Thirty-three were considered surgical candidates and 25 underwent surgery. Seizure freedom and significant seizure reduction were achieved in 12 of 13 patients after functional hemispherectomy, 4 of 6 after temporal lobectomy, 2 of 2 with extratemporal focal resections, 1 of 3 with corpus callosotomy, and 1 with porencephalic cyst drainage.




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