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Original Paper

Recovery of Language after Left Hemispherectomy in a Sixteen-Year-Old Girl with Late-Onset Seizures

Telfeian A.E.b · Berqvist C.a · Danielak C.b · Simon S.L.b · Duhaime A.-C.b

Author affiliations

Divisions of aNeurology and bNeurosurgery, The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa., USA

Related Articles for ""

Pediatr Neurosurg 2002;37:19–21

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: July 10, 2002
Issue release date: Juli 2002

Number of Print Pages: 3
Number of Figures: 1
Number of Tables: 0

ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)

For additional information: https://www.karger.com/PNE

Abstract

Hemispherectomy is a very effective surgical treatment for intractable seizures that occur in the setting of Rasmussen’s syndrome. The decision of when to perform a dominant hemispherectomy depends greatly on how late the surgeon believes some shift in language to the nondominant hemisphere can occur. We report a right-handed patient with Rasmussen’s syndrome who underwent a left hemispherectomy at the age of 16 and has had excellent control of her seizures and remarkable language recovery. Our results indicate that dominant hemispherectomy in adolescence in the setting of late-onset seizures and Rasmussen’s syndrome in the profoundly aphasic patient does not commit the patient to the prognosis of a fixed language deficit.

© 2002 S. Karger AG, Basel


References

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  2. Holthausen H, Pieper T: Complications of hemispherectomy; in Luders HO, Comair YG (eds): Epilepsy Surgery. Philadelphia, Lippincott, Williams & Wilkins, 2001, pp 879–883.
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    External Resources
  8. Vicari S, Albertoni A, Chilosi AM, Cipriani P, Cioni G, Bates E: Plasticity and reorganization during language development in children with early brain injury. Cortex 2000;36:31–46.
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  10. Blumstein SE, Burton M, Baum S, Waldstein R, Katz D: The role of lexical access on the phonetic categorization of speech in aphasia. Brain Lang 1994;46:181–197.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: July 10, 2002
Issue release date: Juli 2002

Number of Print Pages: 3
Number of Figures: 1
Number of Tables: 0

ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)

For additional information: https://www.karger.com/PNE


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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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