Hemisferectomia funcional precoce na hemimegalencefalia associada à epilepsia refratária Early functional hemispherectomy in hemimegalencephaly associated to refractory epilepsy

A hemimegalencefalia (HME) é malformação congênita cerebral rara de etiologia desconhecida que pode se apresentar com síndrome epiléptica de início precoce e resistente à terapia com anticonvulsivantes, associada a comprometimento significativo do desenvolvimento neuropsicomotor. A hemisferectomia f...

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Main Authors: Luiz Fernando Fonseca, Renato Pacheco de Melo, Arthur Cukiert, Jose Augusto Burattini, Pedro Paulo Mariani, Ródio Brandão, Lauro Ceda, Cristine Mella Baldauf, Meire Argentoni, Cássio Forster, Carla Baise
Format: Article
Language:English
Published: Thieme Revinter Publicações 2004-12-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000600024
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author Luiz Fernando Fonseca
Renato Pacheco de Melo
Arthur Cukiert
Jose Augusto Burattini
Pedro Paulo Mariani
Ródio Brandão
Lauro Ceda
Cristine Mella Baldauf
Meire Argentoni
Cássio Forster
Carla Baise
author_facet Luiz Fernando Fonseca
Renato Pacheco de Melo
Arthur Cukiert
Jose Augusto Burattini
Pedro Paulo Mariani
Ródio Brandão
Lauro Ceda
Cristine Mella Baldauf
Meire Argentoni
Cássio Forster
Carla Baise
author_sort Luiz Fernando Fonseca
collection DOAJ
description A hemimegalencefalia (HME) é malformação congênita cerebral rara de etiologia desconhecida que pode se apresentar com síndrome epiléptica de início precoce e resistente à terapia com anticonvulsivantes, associada a comprometimento significativo do desenvolvimento neuropsicomotor. A hemisferectomia funcional (HF) tem-se mostrado alternativa eficaz nos casos refratários à terapêutica medicamentosa. Em número diminuto, crianças foram operadas antes dos seis meses de idade. Esse estudo relata duas crianças com idade inferior a 6 meses com HME e síndrome epiléptica catastrófica submetidas a HF e com boa evolução clínica.<br>Hemimegalencephaly (HME) is a rare congenital brain malformation of unknown etiology. Patients with HME can present with an early onset epileptic syndrome which is often refractory to medical treatment and associated to impaired neurological development. Functional hemispherectomy (FH) has proven to be a valuable treatment alternative in patients with refractory epilepsy in this setting. Very few children operated under the age of 6 months and bearing HME and catastrophic epilepsy (CE) have been described in the literature. This study reports on 2 kids younger than 6 months with HME and CE submitted to FH with good clinical outcome.
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spelling doaj-art-e080f3cdd43e44bc97cece1f6a9aea1b2025-08-20T02:21:30ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria0004-282X1678-42272004-12-016241063106710.1590/S0004-282X2004000600024Hemisferectomia funcional precoce na hemimegalencefalia associada à epilepsia refratária Early functional hemispherectomy in hemimegalencephaly associated to refractory epilepsyLuiz Fernando FonsecaRenato Pacheco de MeloArthur CukiertJose Augusto BurattiniPedro Paulo MarianiRódio BrandãoLauro CedaCristine Mella BaldaufMeire ArgentoniCássio ForsterCarla BaiseA hemimegalencefalia (HME) é malformação congênita cerebral rara de etiologia desconhecida que pode se apresentar com síndrome epiléptica de início precoce e resistente à terapia com anticonvulsivantes, associada a comprometimento significativo do desenvolvimento neuropsicomotor. A hemisferectomia funcional (HF) tem-se mostrado alternativa eficaz nos casos refratários à terapêutica medicamentosa. Em número diminuto, crianças foram operadas antes dos seis meses de idade. Esse estudo relata duas crianças com idade inferior a 6 meses com HME e síndrome epiléptica catastrófica submetidas a HF e com boa evolução clínica.<br>Hemimegalencephaly (HME) is a rare congenital brain malformation of unknown etiology. Patients with HME can present with an early onset epileptic syndrome which is often refractory to medical treatment and associated to impaired neurological development. Functional hemispherectomy (FH) has proven to be a valuable treatment alternative in patients with refractory epilepsy in this setting. Very few children operated under the age of 6 months and bearing HME and catastrophic epilepsy (CE) have been described in the literature. This study reports on 2 kids younger than 6 months with HME and CE submitted to FH with good clinical outcome.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000600024hemimegalencefaliahemisferectomiaepilepsiahemimegalencephalyhemispherectomyepilepsy
spellingShingle Luiz Fernando Fonseca
Renato Pacheco de Melo
Arthur Cukiert
Jose Augusto Burattini
Pedro Paulo Mariani
Ródio Brandão
Lauro Ceda
Cristine Mella Baldauf
Meire Argentoni
Cássio Forster
Carla Baise
Hemisferectomia funcional precoce na hemimegalencefalia associada à epilepsia refratária Early functional hemispherectomy in hemimegalencephaly associated to refractory epilepsy
Arquivos de Neuro-Psiquiatria
hemimegalencefalia
hemisferectomia
epilepsia
hemimegalencephaly
hemispherectomy
epilepsy
title Hemisferectomia funcional precoce na hemimegalencefalia associada à epilepsia refratária Early functional hemispherectomy in hemimegalencephaly associated to refractory epilepsy
title_full Hemisferectomia funcional precoce na hemimegalencefalia associada à epilepsia refratária Early functional hemispherectomy in hemimegalencephaly associated to refractory epilepsy
title_fullStr Hemisferectomia funcional precoce na hemimegalencefalia associada à epilepsia refratária Early functional hemispherectomy in hemimegalencephaly associated to refractory epilepsy
title_full_unstemmed Hemisferectomia funcional precoce na hemimegalencefalia associada à epilepsia refratária Early functional hemispherectomy in hemimegalencephaly associated to refractory epilepsy
title_short Hemisferectomia funcional precoce na hemimegalencefalia associada à epilepsia refratária Early functional hemispherectomy in hemimegalencephaly associated to refractory epilepsy
title_sort hemisferectomia funcional precoce na hemimegalencefalia associada a epilepsia refrataria early functional hemispherectomy in hemimegalencephaly associated to refractory epilepsy
topic hemimegalencefalia
hemisferectomia
epilepsia
hemimegalencephaly
hemispherectomy
epilepsy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000600024
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