Sorano V, Telesca M, Pediconi F, Bova D, Guidetti F
Department of Radiological, Oncological and Pathological Sciences, University of Rome "Sapienza", Viale Regina Elena 324, 00161, Rome, Italy.
Childs Nerv Syst. 2015 Feb;31(2):311-5. doi: 10.1007/s00381-014-2602-5. Epub 2014 Dec 7.
Anatomical hemispherectomy has had excellent results in treating drug-resistant seizures of infantile hemiplegia. This technique of hemispherectomy consists in the removal of a whole hemisphere, with or without the basal ganglia, the end result being a large cavity left at the end of the operation. The technique, however, is considered to be weighted by important complications, in particular intracranial hemorrhages due to vessels tearing secondary to dislodgement of the remaining hemisphere. Several techniques have been consequently proposed to reduce the volume of the residual hemicranial cavity. An alternative measure is the filling of the cavity itself. We have demonstrated that this type of procedure can be carried out using a silicone breast prosthesis. In this report, we demonstrate also that such an implant can have a surprisingly long duration in its unusual location.
解剖性大脑半球切除术在治疗婴儿偏瘫的耐药性癫痫方面取得了优异的效果。这种大脑半球切除术技术包括切除整个大脑半球，无论是否切除基底神经节，最终结果是在手术结束时留下一个大腔隙。然而，该技术被认为存在严重并发症的风险，特别是由于剩余半球移位导致血管撕裂引起的颅内出血。因此，人们提出了几种技术来减少残留半颅腔的体积。一种替代措施是填充腔隙本身。我们已经证明，这种类型的手术可以使用硅胶乳房假体来进行。在本报告中，我们还证明了这种植入物在其不寻常的位置可以有惊人的长时间留存。
