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Jul 1
Living with Half a Brain -- What Implications Does it Have?


Boing Boing  posted a story today about half a brain from this week's New Yorker . In an interesting article by Christine Kenneally you see inside hemispherectomy, which is thought of as "the most radical procedure in neurosurgery."

The operation removes an entire side of the hemisphere as a treatment for cancer or uncontrollable seizures. Interestingly…  if the operation takes place when a person is young, the remaining hemisphere does double duty and the child often develops normally.
hemispherectomy.jpg
Boing Boing quoted from the New Yorker:

“Many children who have had hemispherectomies at Johns Hopkins are in high school, and one, a college student, is on the dean’s list. The families of these children can barely believe the transformation, and not so long ago neurologists and neurosurgeons found it hard to believe as well. I asked (neurosurgeon George) Jallo if he remembered his first hemispherectomy. “Yes and no,” he said. “I don’t remember the patient. It was more of a ‘Wow.’ I was a resident in training and I assisted in one of the operations. I didn’t realize you could take out that much brain tissue and have someone be so functional and useful in society. What amazes me is that, if someone all of a sudden strokes out half of the brain, more likely than not they are not going to survive. Yet a lot of these people develop their seizures when they’re very young, or in utero, and when you take out half of their brain in one sitting it’s as if they weren’t touched.”

Read about the wide variety of responses to recovery from those who live with half a brain at the New Yorker. What does this tell you about the brain hidden or unused capabilities…?


4 Comments/Trackbacks




I remember they used to sever the corpus callosum, separating the two hemispheres and creating, in effect two separate brains. The operation seemed to be effective in preventing seizures, and the patients seemed completely functional after the surgery. However, thre were some odd after-effects. If the right eye was covered, the patient was unable to say what he saw with his left eye, because his speech center was in his left hemisphere, and the iamge was routed to his now separated right hemisphere.

Hi lestein, and thanks for dropping by. You are right and thanks for the insight. This operation has certainly come a long way, and still -- there remain other serious side-effects in some patients. Itoften mazes me how far we have come when it comes to understanding the brain.

I brought that up beccause I was wondering if removing an entire hemisphere is actually preferable to severing the corpus callosum.

Leestein, it would depend on the patients location of problems and on the procedures that doctors and families agree on. These differ and the latest operation is the hemisphere removal. However, not being a neurologist ... I would not have all the specifics for what would choose one over the other. This is very new and quite exciting as it helps many.

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