Hemispherotomy in a patient with intractable epilepsy also on anticoagulant therapy for coronary artery aneurysms secondary to Kawasaki disease - Proposal of an ethical approach

Publication date: Available online 9 January 2017
Source:Interdisciplinary Neurosurgery
Author(s): Ayataka Fujimoto, Hirotaka Motoi, Toru Okanishi, Yoshiki Mori, Ryo Sugiura, Toshiaki Oka, Masaaki Koide, Hideo Enoki, Tokutaro Tanaka
PurposeTo describe the safe performance of epilepsy surgery in a patient on anticoagulant therapy.Patient and MethodAn 11-year-old girl developed Kawasaki disease, which caused coronary artery aneurysms. She had a left middle cerebral artery area infarction, manifesting as intractable epilepsy. However, other medical facilities hesitated to perform the surgery due to the risks of vascular events as a result of stopping anticoagulant therapy.ResultsThe patient was firm in their desire to have epilepsy surgery performed. We discontinued anticoagulants and performed left hemispherotomy. After the surgery, the patient was free of seizures without any complications.



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