Hemispherotomy can cause post-operative strabismus.
Complication
Hemispherotomy
Hirschberg test
Plasticity
Strabismus
Journal
Brain & development
ISSN: 1872-7131
Titre abrégé: Brain Dev
Pays: Netherlands
ID NLM: 7909235
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
19
04
2019
revised:
19
08
2019
accepted:
26
08
2019
pubmed:
16
9
2019
medline:
2
6
2020
entrez:
16
9
2019
Statut:
ppublish
Résumé
Hemispherotomy, which involves disconnecting hemispherical fibers, is a treatment option for medically intractable epilepsy. As various neurological disorders can cause strabismus, we hypothesized that hemispherotomy can cause post-operative strabismus in patients with medically intractable epilepsy. Nineteen patients underwent the Hirschberg test before and after hemispherical disconnection surgery. Among the 19 patients, 16 patients (six females and 10 males; mean age, 12.2 years; range, 0.17-43 years) who underwent hemispherotomy were included in this study. The difference in the angle between the left and right eyes was significantly widened (p = 0.025). Nine (56%) of 16 patients exhibited post-operative chronic strabismus as evaluated with the Hirschberg test. Intermittent strabismus was noticed by family members or caregivers in 10 (63%) of 16 patients. Patients older than 12 years did not show post-operative strabismus as evaluated by the Hirschberg test. Hemispherotomy can cause or worsen post-operative strabismus in pediatric patients.
Sections du résumé
BACKGROUND
BACKGROUND
Hemispherotomy, which involves disconnecting hemispherical fibers, is a treatment option for medically intractable epilepsy. As various neurological disorders can cause strabismus, we hypothesized that hemispherotomy can cause post-operative strabismus in patients with medically intractable epilepsy.
METHODS
METHODS
Nineteen patients underwent the Hirschberg test before and after hemispherical disconnection surgery. Among the 19 patients, 16 patients (six females and 10 males; mean age, 12.2 years; range, 0.17-43 years) who underwent hemispherotomy were included in this study.
RESULTS
RESULTS
The difference in the angle between the left and right eyes was significantly widened (p = 0.025). Nine (56%) of 16 patients exhibited post-operative chronic strabismus as evaluated with the Hirschberg test. Intermittent strabismus was noticed by family members or caregivers in 10 (63%) of 16 patients. Patients older than 12 years did not show post-operative strabismus as evaluated by the Hirschberg test.
CONCLUSION
CONCLUSIONS
Hemispherotomy can cause or worsen post-operative strabismus in pediatric patients.
Identifiants
pubmed: 31521421
pii: S0387-7604(19)30241-4
doi: 10.1016/j.braindev.2019.08.011
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
41-47Informations de copyright
Copyright © 2019 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.