Prof. Dong-Seok KIMSouth Korea
Yonsei University College of Medicine
2008 to present | Professor, Neurosurgery, Yonsei University College of Medicine |
2003-2008 to present | Associate professor, Neurosurgery, Yonsei University College of Medicine, Seoul, Korea |
1997-2003 to present | Assistant professor, Neurosurgery, Yonsei University College of Medicine, Seoul, Korea |
1997 - 2000 | Inha University, Graduate School, Incheon, Korea; PhD |
1994 - 1996 | Yonsei University, Graduate School, Seoul, Korea; M.S |
1980 - 1986 | Yonsei University, College of Medicine, Seoul, Korea; M.D. |
Brain tumor (exp, invasion of glioma)
Hydrocephalus, Neuroendoscopy
Epilepsy, crniosynostosis, and Moyamoya disease
Dr. KIM finished medical school in 1986 at Yonsei University, Seoul, Korea. And then he had a residency and fellowship for pediatric neurosurgery at Severance Hospital in Seoul, Korea.
He had studied hydrocephalus model at Tokai University in Japan, spend 2 years for brain tumor research at university of Toronto in Canada.
He is interested in epilepsy surgery, moyamoya disease, congenital malformation and pediatric brain tumors. He is working as a section editor of Child’s nervous system, and he is currently working as a president of Korean Society for Pediatric Neuro-oncology, Chairman of surgery committee of Korean Epilepsy Society, and membership chairman of International Society for Pediatric Neurosurgery.
Disconnection surgery for pediatric epilepsy
1109 09:00-09:20
Interim Meeting of AASPN/303A
Epilepsy surgery revealed dramatically improved seizure outcomes over medical therapy in drug-resistant epilepsy patients. Children with epilepsy, however, have multiple epileptic focuses, which require multilobar resection for better seizure outcome. Multilobar resection has several severe surgical complications, such as hydrocephalus and shunt-related craniosynostosis, due to intracranial volume reduction in addition to traditional surgical complications. Progressively, isolation method (disconnection surgery) was studied over epileptic focus removal (resective surgery)for seizure control. This concept was first introduced for functional hemispherotomy, and its primary principle is preserving the vital vascularized brain that is functionally disconnected from contralateral healthy brain. Currently in most epilepsy centers, the predominant disconnection surgical methods, including functional hemispherotomy, are continually being refined and are showing excellent results. They allow the functional isolation of the hemisphere or multi-lobe affected by severe epilepsy
This review describes recent findings concerning the indication, surgical technique, seizure outcome and complications in several disconnection surgeries including the functional hemispherotomy for refractory childhood epilepsy.
Keywords
Functional hemispherotomy, resective surgery, disconnection surgery, epilepsy