2018 AANS Annual Scientific Meeting-723. The Addition of Choroid Plexus Cauterization May Reduce Post-Hemispherectomy Hydrocephalus: Early UCLA Experience

723. The Addition of Choroid Plexus Cauterization May Reduce Post-Hemispherectomy Hydrocephalus: Early UCLA Experience

Video Transcription

Video Summary

In this video, Alexander Tucker from UCLA discusses the use of choroid plexus cauterization as a strategy to reduce hydrocephalus after hemispherectomy surgery for epilepsy. The study analyzed cases from UCLA from 2016 to 2017 and found that 94% of patients were seizure-free after the procedure. Of the 16 patients, 15 had choroid plexus cauterization and only one required a VP shunt. The study suggests that choroid plexus cauterization could be an effective and low-risk procedure to reduce post-hemispherectomy hydrocephalus and potentially eliminate the need for shunts in some cases. However, longer follow-up is needed to evaluate the durability of the results. The procedure is advocated as a standard step in all hemispherectomy procedures.

Asset Caption

Alexander Tucker, MD

Keywords

choroid plexus cauterization

hydrocephalus

hemispherectomy surgery

epilepsy

seizure-free