Residual @entity410 after functional hemispherectomy occur in approximately 20% of @entity1 with @entity302 . These episodes are traditionally attributed to incomplete disconnection, persistent epileptogenic activity in the @entity550 , or bilateral independent epileptogenic activity. The authors report on the case of an 8-year-old @entity1 with an intractable @entity410 disorder who had @entity410 related to extensive unilateral left hemispheric @entity6795 . The initial intervention consisted of extensive removal of the @entity302 tissue and multiple subpial transections of the @entity6349 motor strip, guided by intraoperative electrocorticography. Subsequently, functional hemispherectomy including insular cortex resection was performed for persistent attacks. After a @entity410 -free period of 6 months, a new pattern ensued, consisting of an aura of fear, dystonic posturing of the right arm, and unusual postictal @entity7298 coupled with an @entity1640 . Electroencephalography and ictal/interictal single-photon emission computerized tomography were used to localize the residual @entity302 discharges to deep ipsilateral structures. Results of magnetic resonance imaging indicated a complete disconnection except for a strip of residual frontobasal tissue. Therefore, a volumetric resection of the epileptogenic frontal basal tissue up to the anterior commissure was completed. The @entity1 has remained free of @entity410 during 21 months of follow-up review. Standard hemispherectomy methods provide extensive disconnection, despite the presence of residual frontal basal cortex. However, rarely, and especially if it is @entity6349 , this tissue can represent a focus for refractory @entity410 . This is an important consideration in determining the source of ongoing @entity410 posthemispherectomy in @entity1 with extensive @entity6795 . It remains important to assess them fully before considering their disease refractory to surgical treatment.

Omental transplantation for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'boy', 'child'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure', 'classic frontal adversive seizures', 'seizures'] @entity550 :: ('MESH:D000303', 'Disease') :: ['ipsilateral insular cortex'] @entity1640 :: ('MESH:D007027', 'Disease') :: ['interictal diencephalic-like syndrome'] @entity7298 :: ('MESH:D006963', 'Disease') :: ['hyperphagia'] @entity6795 :: ('MESH:D054220', 'Disease') :: ['cortical dysplasia'] @entity302 :: ('MESH:D004827', 'Disease') :: ['catastrophic epilepsy', 'epileptic', 'epileptic frontal and precentral dysplastic'] @entity6349 :: ('MESH:D004416', 'Disease') :: ['dysplastic']
@entity302 :: (MESH:D004827,Disease) :: ['epilepsy']
