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CASE REPORT
Trapped ipsilateral lateral ventricle: a delayed complication of hemispherotomy for Rasmussen’s encephalitis
  1. Rajesh Shankar Iyer1,
  2. Ravi Mohan Rao2,
  3. Karunakaran Muthukalathi3,
  4. Praveen Kumar3
  1. 1Department of Neurology, KG Hospital, Coimbatore, Tamil nadu, India
  2. 2Department of Neurosurgery, Apollo Hospitals, Bangalore, Karnataka, India
  3. 3Department of Radiology, KG Hospital, Coimbatore, Tamil nadu, India
  1. Correspondence to Dr Rajesh Shankar Iyer, dr_rsh{at}hotmail.com

Summary

Hemispherotomy is the currently preferred surgical treatment option for refractory unihemispheric epilepsies. The incidence of hydrocephalus is greatly reduced in this disconnective procedure when compared with the resective procedure of anatomical hemispherectomy. We describe the occurrence of ipsilateral trapped lateral ventricle months after hemispherotomy for Rasmussen’s encephalitis. There is enough evidence to suggest that this rare and interesting complication is due to the local inflammatory changes associated with the surgical trauma.

  • coma and raised intracranial pressure
  • epilepsy and seizures
  • hydrocephalus
  • neuroimaging
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Footnotes

  • Contributors RSI was involved in conception, draft and the content. RMR contributed towards the interpretation of the surgical data. Both KM and PK were involved in interpretation and draft of the radiological data.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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