Hemisphärotomie bei einer 17-jährigen Patientin mit Sturge-Weber-Syndrom : Indikation und Follow-Up (Der epilepsiechirurgische Fall)

Hemispherotomy is predominantly carried out in childhood. It can generally be assumed that preoperative neurological deficits (homonymous hemianopsia, hemiparesis) are present. We report on a 17-year-old patient with refractory epilepsy with Sturge-Weber syndrome who was treated with a modified hemispherotomy despite absence of hemiparesis and additional idiopathic generalized epilepsy. Postoperatively (11 months) the patient was seizure-free and, despite postoperative spastic paresis of the left foot, reported clearly improved everyday functioning and quality of life.