Best Doctor List Near You for Hemispherectomy in Ceske budejovice

Hemispherectomy is a surgical procedure involving the removal or disconnecting of one hemisphere of the brain. This radical surgery is typically performed to treat severe, drug-resistant epilepsy that originates from one hemisphere and does not respond to other treatments. The procedure aims to reduce or eliminate epileptic seizures by removing or disconnecting the part of the brain responsible for generating them. Hemispherectomy is also sometimes considered in cases of significant brain injury or congenital brain malformations that cause severe functional impairment. The surgery is performed under general anesthesia, and the approach may vary depending on the specific condition being treated. In a complete hemispherectomy, the affected hemisphere of the brain is removed. In a functional hemispherectomy, the hemisphere is disconnected from the rest of the brain, often by severing the corpus callosum and other connecting pathways, but left in place. The decision on which approach to take depends on factors such as the extent of the seizure activity, the underlying brain condition, and the patient's overall health. Complications from hemispherectomy can be significant and include infection, bleeding, and cerebrospinal fluid leaks. Postoperative issues may involve motor and sensory deficits, difficulty with speech and language, and cognitive impairments, depending on the hemisphere removed or disconnected. Patients may also experience changes in behavior or personality. Long-term rehabilitation is often required, including physical therapy, occupational therapy, and speech therapy, to help maximize recovery and improve quality of life. Despite the risks, hemispherectomy can offer significant seizure relief and improved quality of life for patients with otherwise intractable epilepsy.