Functional Hemispherectomy – Surgery for Severe Epilepsy
Functional Hemispherectomy is a surgical procedure that can be a life-changing treatment option for individuals suffering from severe epilepsy that does not respond to medication.
This procedure involves removing or disconnecting one half of the brain to prevent seizures from spreading to the other side. It is considered a last resort when other treatments have failed to provide relief.
Functional Hemispherectomy is typically recommended for patients who have tried multiple medications, therapies, and other surgical options without success.
This procedure can significantly improve the quality of life for individuals with severe epilepsy by reducing the frequency and severity of seizures.
Indications of Functional Hemispherectomy
Functional Hemispherectomy is primarily indicated for individuals with severe epilepsy that originates from one hemisphere of the brain. This type of epilepsy can cause frequent and uncontrollable seizures that significantly impact a person's daily life.
Candidates for this surgery may have tried multiple medications and other treatments without success.
- Uncontrolled seizures despite medication
- Seizures originating from one hemisphere of the brain
- Seizures affecting quality of life and daily functioning
Steps involved in Functional Hemispherectomy Surgery
Functional Hemispherectomy is a complex surgical procedure that involves removing or disconnecting one half of the brain to control seizures. The surgery is performed under general anesthesia, and the patient is closely monitored throughout the procedure.
The surgeon will make an incision in the scalp, remove a portion of the skull to access the brain, and carefully disconnect or remove the affected hemisphere.
The surgery may take several hours to complete, and the patient will be closely monitored in the intensive care unit following the procedure.
Who will perform Functional Hemispherectomy Surgery?
Functional Hemispherectomy surgery is typically performed by a team of highly trained neurosurgeons, neurologists, and other medical professionals with experience in treating epilepsy and neurological disorders. These specialists work together to ensure the best possible outcome for the patient.
The neurosurgeon will lead the surgical team and perform the procedure, while the neurologist will provide pre- and post-operative care to manage seizures and monitor the patient's progress.
It is essential to choose a medical center with a multidisciplinary team that specializes in epilepsy surgery for the best results.
Preparing for Functional Hemispherectomy Surgery
Before undergoing Functional Hemispherectomy surgery, the patient will need to undergo a series of pre-operative tests and evaluations to determine their eligibility for the procedure. These may include brain imaging scans, EEG tests, and consultations with the surgical team.
It is essential to discuss any medications, allergies, and medical conditions with the healthcare team before the surgery. The patient may also need to make arrangements for post-operative care and recovery, including transportation, assistance at home, and follow-up appointments.
after Functional Hemispherectomy surgery
Recovery after Functional Hemispherectomy surgery can vary depending on the individual and the extent of the procedure. The patient will typically spend several days in the hospital for monitoring and pain management before being discharged.
It is normal to experience some discomfort, swelling, and fatigue after the surgery, but these symptoms should improve over time. The healthcare team will provide instructions for wound care, medication management, and activity restrictions during the recovery period.
Before and After Functional Hemispherectomy surgery
Before Functional Hemispherectomy surgery, it is essential to have a thorough understanding of the procedure, risks, and expected outcomes. The surgical team will provide detailed information and answer any questions to help the patient make an informed decision.
- Follow all pre-operative instructions provided by the healthcare team
- Arrange for transportation to and from the hospital on the day of surgery
- Prepare your home for recovery with necessary supplies and assistance
After Functional Hemispherectomy surgery, it is crucial to follow the post-operative care instructions provided by the healthcare team to promote healing and prevent complications. Regular follow-up appointments will be scheduled to monitor progress and adjust treatment as needed.
Frequently Asked Questions
What conditions make functional hemispherectomy necessary?
Functional hemispherectomy may be necessary for severe epilepsy that doesn't respond to medication, traumatic brain injury, brain malformations, or brain tumors affecting one hemisphere of the brain.
How does this surgery differ from anatomical hemispherectomy?
This surgery involves disconnecting one hemisphere of the brain from the rest, while anatomical hemispherectomy removes part of the hemisphere.
What are the long-term effects of this surgery?
Long-term effects of this surgery may include improved quality of life, reduced symptoms, and long-lasting relief from the condition. Complications are possible, but your healthcare team will monitor you closely to address any issues that may arise.
How does the brain adapt after hemispherectomy?
After a hemispherectomy, the remaining hemisphere of the brain takes over the functions of the removed hemisphere, allowing the person to regain some lost functions and adapt to the changes.
What are the potential complications?
Potential complications of this condition may include infection, bleeding, scarring, and allergic reactions to medications or materials used during treatment.
How long is the hospitalization period after surgery?
The length of your hospital stay after surgery depends on the type of surgery you had and how well you recover. Your healthcare team will let you know when you can go home.
What kind of rehabilitation is required?
The type of rehabilitation needed depends on the individual's condition but may include physical therapy, occupational therapy, speech therapy, or a combination of these. It is essential to work with healthcare providers to determine the most appropriate rehabilitation plan for each person.
Are there age restrictions for this procedure?
Age restrictions may vary depending on the specific procedure and the patient's overall health. Your doctor will assess your individual situation to determine if you are a suitable candidate.
How successful is functional hemispherectomy in controlling seizures?
Functional hemispherectomy is successful in controlling seizures in about 70-90% of patients with severe epilepsy that doesn't respond to other treatments.
Can patients live independently after this procedure?
Yes, many patients can live independently after this procedure. It's essential to follow your healthcare provider's guidance for a smooth recovery.