ESPECTRO DEL DÉFICIT MOTOR POSTERIOR A LA HEMISFEROTOMÍA PERI-INSULAR REPORTE DE CASOS Y REVISIÓN DE LA LITERATURA.
DOI:
https://doi.org/10.51437/nj.v26i2.154Keywords:
hemisferotomía, epilepsia hemisférica, función motora, tractografíaAbstract
La hemisferectomía es uno de los procedimientos con los mejores resultados en libertad de crisis en pacientes estrictamente seleccionados, indicado generalmente en pacientes pediátricos con epilepsia hemisférica catastrófica. Describimos dos casos de pacientes llevados a hemisferotomía peri-insular con diferentes características clínicas y con diferentes resultados de su función motora, pero con buenos resultados en libertad de crisis. La función motora posterior a la hemisferectomía depende de varios factores, los más importantes son el sustrato patológico adyacente, la edad y la rapidez de aparición de la patología responsable de la lesión cortical.
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Honda N, Matuoka T, Sawada Y, et al. Reorganization of sensorimotor function after functional hemispherectomy studied using near-infrared spectroscopy. Pediatr Neurosurg. 2010;46(4):313‐317. doi:10.1159/000321595
Hu WH, Zhang C, Zhang K, Shao XQ, Zhang JG. Hemispheric surgery for refractory epilepsy: a systematic review and meta-analysis with emphasis on seizure predictors and outcomes. J Neurosurg. 2016;124(4):952‐961. doi:10.3171/2015.4.JNS14438
Jadhav T, Cross JH. Surgical approaches to treating epilepsy in children. Curr Treat Options Neurol. 2012; 14:620–629. https://doi.org/ 10.1007/s11940-012-0203-8.
Jonas R, Nguyen S, Hu B, et al. Cerebral hemispherectomy: hospital course, seizure, developmental, language, and motor outcomes. Neurology. 2004;62(10):1712‐1721. doi:10.1212/01.wnl.0000127109.14569.c3
Kovanda TJ, Rey-Dios R, Travnicek J, Cohen-Gadol AA. Modified periinsular hemispherotomy: operative anatomy and technical nuances. J Neurosurg Pediatr. 2014;13(3):332‐338. doi:10.3171/2013.12.PEDS13277
Asarnow RF, LoPresti C, Guthrie D, et al. Developmental outcomes in children receiving resection surgery for medically intractable infantile spasms. Dev Med Child Neurol. 1997;39(7):430‐440. doi:10.1111/j.1469-8749.1997.tb07462.x
Broumandi DD, Hayward UM, Benzian JM, Gonzalez I, Nelson MD. Best cases from the AFIP: hemimegalencephaly. Radiographics. 2004;24(3):843‐848. doi:10.1148/rg.243035135
Bulteau C, Dorfmüller G, Fohlen M, Jalin C, Oliver MV, Delalande O. Evaluation à long terme des déconnexions hémisphériques [Long-term outcome after hemispheric disconnection]. Neurochirurgie. 2008;54(3):358‐361. doi:10.1016/j.neuchi.2008.02.051
Choi JT, Vining EP, Mori S, Bastian AJ. Sensorimotor function and sensorimotor tracts after hemispherectomy. Neuropsychologia. 2010;48(5):1192‐1199. doi:10.1016/j.neuropsychologia.2009.12.013
Cook SW, Nguyen ST, Hu B, et al. Cerebral hemispherectomy in pediatric patients with epilepsy: comparison of three techniques by pathological substrate in 115 patients. J Neurosurg. 2004;100(2 Suppl Pediatrics):125‐141. doi:10.3171/ped.2004.100.2.0125
Cukiert A, Cukiert CM, Argentoni M, et al. Outcome after hemispherectomy in hemiplegic adult patients with refractory epilepsy associated with early middle cerebral artery infarcts. Epilepsia. 2009;50(6):1381‐1384. doi:10.1111/j.1528-1167.2008.01795.x
Curtiss S, de Bode S. Age and etiology as predictors of language outcome following hemispherectomy. Dev Neurosci. 1999;21(3-5):174‐181. doi:10.1159/000017396
Delalande O, Bulteau C, Dellatolas G, et al. Vertical parasagittal hemispherotomy: surgical procedures and clinical long-term outcomes in a population of 83 children. Neurosurgery.2007; 60 (2 Suppl 1):ONS19‐ONS32. doi:10.1227/01.NEU.0000249246.48299.12
Delalande, O., Pinard, J.M., Basdevant, C., Gauthe, M., Plouin, P., Dulac, O. Hemispherotomy: a new procedure for central disconnection. Epilepsia. 1992; 33 (Suppl. 3), 99—100.
Devlin AM, Cross JH, Harkness W, et al. Clinical outcomes of hemispherectomy for epilepsy in childhood and adolescence. Brain. 2003;126(Pt 3):556‐566. doi:10.1093/brain/awg052
Fujimoto A, Okanishi T, Nishimura M, Kanai S, Sato K, Enoki H. The Wada test might predict postoperative fine finger motor deficit after hemispherotomy. J Clin Neurosci. 2017;45:319‐323. doi:10.1016/j.jocn.2017.08.011
Griessenauer CJ, Salam S, Hendrix P, et al. Hemispherectomy for treatment of refractory epilepsy in the pediatric age group: a systematic review. J Neurosurg Pediatr 2015;15:34 – 44 CrossRef Medline
Holloway V, Gadian DG, Vargha-Khadem F, Porter DA, Boyd SG, Connelly A. The reorganization of sensorimotor function in children after hemispherectomy. A functional MRI and somatosensory evoked potential study. Brain. 2000;123 Pt 12:2432‐2444. doi:10.1093/brain/123.12.2432
Honda N, Matuoka T, Sawada Y, et al. Reorganization of sensorimotor function after functional hemispherectomy studied using near-infrared spectroscopy. Pediatr Neurosurg. 2010;46(4):313‐317. doi:10.1159/000321595
Hu WH, Zhang C, Zhang K, Shao XQ, Zhang JG. Hemispheric surgery for refractory epilepsy: a systematic review and meta-analysis with emphasis on seizure predictors and outcomes. J Neurosurg. 2016;124(4):952‐961. doi:10.3171/2015.4.JNS14438
Jadhav T, Cross JH. Surgical approaches to treating epilepsy in children. Curr Treat Options Neurol. 2012; 14:620–629. https://doi.org/ 10.1007/s11940-012-0203-8.
Jonas R, Nguyen S, Hu B, et al. Cerebral hemispherectomy: hospital course, seizure, developmental, language, and motor outcomes. Neurology. 2004;62(10):1712‐1721. doi:10.1212/01.wnl.0000127109.14569.c3
Kovanda TJ, Rey-Dios R, Travnicek J, Cohen-Gadol AA. Modified periinsular hemispherotomy: operative anatomy and technical nuances. J Neurosurg Pediatr. 2014;13(3):332‐338. doi:10.3171/2013.12.PEDS13277
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Published
2020-12-01
How to Cite
Varela-Osorio, R. ., Ordoñez, J., Servín , O., Gomes, L. P., Vieira, S., & Silva Centeno , R. (2020). ESPECTRO DEL DÉFICIT MOTOR POSTERIOR A LA HEMISFEROTOMÍA PERI-INSULAR REPORTE DE CASOS Y REVISIÓN DE LA LITERATURA. Español, 26(2), 36–56. https://doi.org/10.51437/nj.v26i2.154
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