Peri-Insular hemispherotomy: A systematic review and institutional experience

Conclusion: PIH delivers Engel I outcomes for over 4 in 5 patients selected for this procedure, greater than described in combined hemispherectomy analyses. It is an effective technique in patients with deve lopmental and acquired pathologies, despite general preference of VPH in this patient group. Finally, very young patients may have significant seizure and cognitive benefits from PIH, however hydrocephalus is most common in this group warranting careful risk-benefit assessment. This review delivers a dedicated PIH outcomes analysis to inform clinical and patient decision making.
Source: Pediatric Neurosurgery - Category: Neurosurgery Source Type: research