Abstract

Investigators at the National Center of Neurology and Psychiatry, Tokyo, studied the effect of early hemispherectomy on development in a consecutive series of 12 infants with hemimegalencephaly (HME) and epileptic encephalopathy.

Highlights

  • Investigators at Children’s Memorial Health Institute, Warsaw, Poland, report monozygotic twin sisters with tuberous sclerosis complex (TSC), one treated with the mTOR inhibitor everolimus since age 4 years

  • Eleven patients had a history of early infantile epileptic encephalopathy

  • 8 (66.7%) were seizure-free and showed significantly higher postoperative developmental quotient (DQ) than those with seizures

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Summary

Introduction

Investigators at Children’s Memorial Health Institute, Warsaw, Poland, report monozygotic twin sisters with tuberous sclerosis complex (TSC), one treated with the mTOR inhibitor everolimus since age 4 years. Investigators at the National Center of Neurology and Psychiatry, Tokyo, studied the effect of early hemispherectomy on development in a consecutive series of 12 infants with hemimegalencephaly (HME) and epileptic encephalopathy. Mean age at onset was 20.4 days, mean age at surgery was 4.3 months (range 2-9), and mean follow-up time was 78.8 months (36-121).

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