Abstract | INTRODUCTION: METHODS: Two infants (weight, 8.7 kg and 3.7 kg) underwent interhemispheric vertical hemispherotomy with endoscope assistance. In the first case, during the lateral disconnection, excessive bleeding prompted the surgeon to coagulate the lenticulostriate arteries at the origin from the middle cerebral artery to reduce bleeding. In the second infant, the lenticulostriate arteries were coagulated before initiating the lateral disconnection. RESULTS: In both infants, the blood loss from lateral dissection was reduced by coagulation of lenticulostriate arteries. CONCLUSION: The authors suggest that early coagulation of the lenticulostriate arteries is a useful strategy to minimize blood loss in low-weight infants undergoing hemispherotomy.
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Authors | Sandeep Sood, Eishi Asano, Aimee Luat |
Journal | Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
(Childs Nerv Syst)
Vol. 36
Issue 4
Pg. 841-845
(04 2020)
ISSN: 1433-0350 [Electronic] Germany |
PMID | 32055976
(Publication Type: Journal Article)
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Topics |
- Hemimegalencephaly
(etiology, surgery)
- Hemispherectomy
- Humans
- Infant
- Infant, Newborn
- Magnetic Resonance Imaging
- Seizures
(etiology)
- Treatment Outcome
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