Case Report
Volume 12 Issue 10 - 2020
Posterolateral Disconnection as an Effective Technique in Drug Refractory Epilepsy - A Case Report and Review of Literature
Sibhi Ganapathy* and Lingaraju T
Neurosurgeon and Spine Surgeon, Sakra World Hospital, Bangalore, India
*Corresponding Author: Sibhi Ganapathy, Neurosurgeon and Spine Surgeon, Sakra World Hospital, Bangalore, India.
Received: May 26, 2020; Published: September 30, 2020


Refractory epilepsy surgeries have evolved over the years from resection to disconnection procedures reducing the perioperative morbidities and long-term complications, while yielding good outcomes. We present a child with medically refractory Epilepsy which hemiparesis and hemianopia. The imaging was suggestive of extensive posterior quadrant gliosis secondary to neonatal asphyxia. After successful seizure localisation, using phase 1 and 2 investigations, a posterior quadrant disconnection was successfully carried out without incident. The child recovered and is seizure free with no additional deficits. Posterior quadrant disconnection surgery accounts for less than 5% of overall epilepsy surgeries and is less frequently described in literature. Yet it has become more acceptable to neurosurgeons and patients alike over the years. A quick review of literature is also supplied

Keywords: Posterior Quadrant Disconnection; Medically Recalcitrant Epilepsy


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Citation: Sibhi Ganapathy and Lingaraju T. “Posterolateral Disconnection as an Effective Technique in Drug Refractory Epilepsy - A Case Report and Review of Literature”. EC Neurology 12.10 (2020): 86-95.

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