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Cost of Hemispherectomy in Major cities of Turkey
| City | Minimum Cost (USD) | Minimum Cost (TRY) | Maximum Cost (USD) | Maximum Cost (TRY) |
|---|---|---|---|---|
| Ankara | USD 35000 | 1367100 | USD 65000 | 2538900 |
| Antalya | USD 35000 | 1367100 | USD 65000 | 2538900 |
| Bursa | USD 35000 | 1367100 | USD 65000 | 2538900 |
| Istanbul | USD 35000 | 1367100 | USD 65000 | 2538900 |
| Izmir | USD 35000 | 1367100 | USD 65000 | 2538900 |
| Samsun | USD 35000 | 1367100 | USD 65000 | 2538900 |
| Sivas | USD 31500 | 1230390 | USD 58500 | 2285010 |
| Tokat | USD 31500 | 1230390 | USD 58500 | 2285010 |
| Trabzon | USD 31500 | 1230390 | USD 58500 | 2285010 |
| Usak | USD 31500 | 1230390 | USD 58500 | 2285010 |
| Zonguldak | USD 31500 | 1230390 | USD 58500 | 2285010 |
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A hemispherectomy is a special brain surgery where doctors remove or disconnect the half of your brain that causes bad seizures. Before the surgery, the doctors do tests like brain scans and give you a short sleep test to find out exactly where the seizures start. During the surgery, they gently open the skull, do the procedure, and then put everything back in place carefully.
After surgery, you will stay in the hospital for a few days so doctors and nurses can watch how you’re doing. You’ll probably feel sleepy and need time to heal, but soon you'll begin therapy to help you learn to move, speak, and do everyday tasks again. Medicines that help control seizures will be adjusted over time. Many kids feel much better afterwards and can resume activities like attending school, playing with friends, and learning new things.
Hemispherectomy is a rare but life-changing neurosurgical procedure performed to treat severe, intractable epilepsy that originates from one cerebral hemisphere.It is typically used when seizures do not respond to medications and are caused by extensive damage or malformation in one side of the brain.The goal is to remove or disconnect the affected hemisphere to stop seizure activity, reduce neurological decline, and improve quality of life.
Consult a pediatric or adult epileptologist if you or your child has drug-resistant epilepsy, especially if seizures are frequent, disabling, or result in developmental regression.Early evaluation is critical if imaging (MRI, EEG, PET) shows unilateral cortical dysplasia, Rasmussen’s encephalitis, Sturge-Weber syndrome, or hemimegalencephaly.Surgery is considered when seizures are disabling and localized to one hemisphere, and other treatments have failed.
Preparation involves an extensive pre-surgical epilepsy evaluation, including:
- Video EEG monitoring to localize seizure origin
- MRI, PET, or MEG scans to assess brain structure and function
- Neuropsychological testing to evaluate cognitive and language baseline
- Multidisciplinary team discussion to ensure the patient is a surgical candidate
- Patients may also need blood work and a pre-anesthesia evaluation.
Hemispherectomy is done under general anesthesia and may take several forms:
- Anatomic Hemispherectomy: Physical removal of one hemisphere (rarely performed today)
- Functional Hemispherectomy: Disconnects the dysfunctional hemisphere while leaving most of it in place
- Hemidecortication or Hemispherotomy: Disconnection of cortical fibers and seizure pathways with minimal tissue removal
- A large craniotomy is performed, and the surgeon uses microsurgical tools to isolate or remove the affected hemisphere. Advanced intraoperative imaging and neuro-navigation are used for precision.
The surgery typically takes 6 to 12 hours, depending on the technique and extent of brain involvement.Postoperative ICU monitoring is usually required for 1–2 days, followed by a hospital stay of 7 to 14 days.Rehabilitation planning begins early in the recovery period.
- Hemiparesis or weakness on the opposite side (usually pre-existing and expected to remain)
- Hydrocephalus requiring a shunt
- Infection, bleeding, or stroke
- Visual field loss (hemianopia)
- Cognitive or behavioral changes
- Seizure recurrence (rare if seizure focus is fully remo Surgery is generally well-tolerated in children due to brain plasticity and the presence of already impaired function in the affected hemisphere.
- Seizure freedom in up to 85% of patients
- Improved developmental outcomes, especially in children
- Reduces reliance on anti-seizure medications
- Prevents further cognitive and neurological regression
- Improves overall quality of life, schooling, and social development
Recovery includes close neurological monitoring, followed by intensive rehabilitation for motor function, language, and adaptive skills.Most patients remain hospitalized for 1–2 weeks before transitioning to an inpatient or outpatient neuro-rehab facility.Physical, occupational, and speech therapy are key to maximizing long-term function. Educational support and caregiver training are also essential.
Hemispherectomy offers seizure freedom in 70–85% of patients and significant seizure reduction in over 90%.Younger patients often achieve better outcomes due to neuroplasticity, allowing the remaining hemisphere to adapt.Cognitive and developmental improvements are often seen within months to years post-surgery when combined with consistent rehabilitation.
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Get Help Explore Hospitals ( 11 )
Acibadem International Hospital
Istanbul, Turkey
Acibadem International Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The Acibadem International Hospital is spread over an indoor area of atleast 19,000 square meters.
- It comprises as many as 122 beds which also means there are intensive care beds (26) with observation beds (16).
- Medical technologies are present such as Whole Body MR, DSA Digital Angiography, EUS (Endoultrasonography), and Ultrasonography.
- Additional services like Heliport, Prayer Room, Cafeteria, ATM within premises etc. can also be availed.
- Patients can choose from either a standard room or a suite during their hospital stay.
NPISTANBUL Brain Hospital
Istanbul, Turkey
5.0 ( 1 Reviews )
NPISTANBUL Brain Hospital located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- 24/7 Emergency Psychiatry service with a private ambulance
- Turkeys first and only A-class ultra-clean Operating Room
- Advanced Toxicology Validation Laboratory service is provided as Addiction Clinic (NPAMATEM)
- International Patient Center
- Accommodation assistance in nearby hotels, apartments, lodges, etc.
- 24-hour translation services for international patients
- In-house Pharmacy
Istinye University Medical Park Gaziosmanpasa Hospital
Istanbul, Turkey
Apart from in-detail treatment procedures available, Istinye University Medical Park Gaziosmanpasa Hospital located in Istanbul, Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter. Also listed below are some of the most prominent infrastructural details:
- The hospital has a capacity of 197 beds and 15 operating rooms in a closed area of ??
- The hospital covers about 67,000 m with a capacity of 197 beds and 15 Operation Theatres
- 12 Professional Treatment Centers
- Standard equipment in all the rooms include phone, TV, Wi-Fi access, safe shower and a restroom with shampoo and slippers to meet hygiene, safety and quality expectations of our patients and companions
- The Hospital also provides advantage of Transportation due to its central location
Liv Hospital Ulus
Istanbul, Turkey
4.9 ( 1 Reviews )
Liv Hospital Ulus located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The Istanbul center consists of 154 beds, 8 operating rooms, and 50 clinics
- Boasts of most experienced and talented Robotic surgeons in the world and is the only hospital in Turkey to receive the Robotic Surgery Center of Excellence certification
- Highest form and techniques in Radiation Oncology among Hospitals in Turkey
- Highly advanced Cancer treatment techniques like Immunotherapy, Nuclear Medicine, Robotic Surgery, etc
- Specialized treatments like Box Technique, Zygomatic Implants
- IVF Center
- Hair Transplant Clinic
- Check Up Center
- Stem Cell Center
- Emergency Department
- Diabetes Polyclinic
- Pediatric Ear, Nose & Throat Clinic
Medicana International Istanbul
Istanbul, Turkey
Medicana International Istanbul located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Covers an indoor area of 30.000 m
- Capacity of 191 beds
- 34 ICUs
- 8 NICUs
- 8 Operation Theatres
- Inpatient Floors
- Outpatient Floors
- Internal and Surgical Intensive Unit Care
- Cardiovascular Surgery Intensive Care Unit
- Coronary Intensive Care Unit
- Neonatal Intensive Care Unit
- Patient comfort CIP, VIP and Standard Patient Rooms
- Intensive care patient rooms
- Technology Advancement- PET-CT, ERCP, BT/MR 1.5 Tesla
Avcilar Anadolu Hospital
Istanbul, Turkey
Avcilar Anadolu Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Three types of rooms are available: Standard room, Suite, Disabled room
- Emergency services for immediate care of patients
- Neonatal intensive care unit for preemie infants
- Presence of Cardiovascular Intensive Care Unit
- In-patient wards and outpatient clinics for a seamless treatment process
- Several fully equipped operation theatres
- An upgraded radiology department
- Exceptional Pathology department
- Well established delivery rooms
- Physical therapy and rehabilitation center
- Nutrition and Diet center
- Presence of a Biochemistry center
- Complete Health checkup facilities for all
Medicana Avcilar
Istanbul, Turkey
Medicana Avcilar located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Closed area of 6.331 m2
- Capacity of 63 beds
- 19 beds in general intensive care unit
- 12 beds in Neonatal Intensive Care Unit (NICU)
- 1 bed capacity in Intensive Care Unit
- Pharmacies on duty
- Parking lot of 100 vehicles
- The Hospital has 31 standard rooms and 3 suite rooms
- All rooms are equipped with basic needs of patients and their relatives in a spacious room; minibar, television, internet, emergency ropes in restroom, nurse call button, etc. are included in our service
Acibadem Altunizade Hospital
Istanbul, Turkey
Acibadem Altunizade Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The indoor area of Acibadem Hastanesi - Altunizade, Istanbul, Turkey is one of the largest at 98,000 square meters.
- There are 550 beds and as many parking spots.
- 75 of the beds are in the intensive care unit.
- A hybrid operating room which has 3 diagnostic units at one location which is an amazing concept as at one time surgeries can be performed in 3 operating theatres.
- International patients are serviced well through a particular center for them where services related to therapy and diagnostics are done.
- Healthcare delivery in this part of the hospital can be availed in 16 different languages.
- Robotic Surgery and Cell Therapy Unit are representative of the high standards of technology present in the hospital.
Acibadem University Hospital Atakent
Istanbul, Turkey
Acibadem University Hospital Atakent located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Spread over an area of 60,000 square meters
- It has 300 wards with 8 operating rooms
- It has an inpatient treatment capacity of 278
- Intensive care unit bed capacity is of 29 beds
- The healthcare organisation has several kinds of infrastructure for services such as free parking, cafeteria, Wi-Fi, hairdressing salon, ATM, ergonomic hospital beds, and prayer rooms.
- The hospital has both standard single rooms and double rooms (24 in number) for the patients.
- The hospital wards are also equipped with metal handrails, emergency cords, and call buttons for patients with mobility issues.
- The latest medical technology is present here to treat patients such as MR-LINAC linear accelerator, The da Vinci robot, and TrueBeam Linear Accelerator.
- The diagnostic department of the hospital has the following equipments:
- MRI 3 Tesla
- Full-body MRI
- Spect CT
- Flash-CT
- Ductoscopy (early diagnosis of breast duct cancer)
- DSA digital angiography
- Endoultrasonography (EUS)
- Ultrasonic echography
Istinye University Bahcesehir - LIV Hospital
Istanbul, Turkey
Apart from in-detail treatment procedures available, Istinye University Bahcesehir - LIV Hospital located in Istanbul, Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, TV inside room. Also listed below are some of the most prominent infrastructural details:
- A 21-storey Hospital covers 62,500 sqm with ability to handle any emergency situation
- Equipped with 300+ beds, 10 palliative care beds and 12 operating rooms
- 30 Observation Rooms, which are convertible to Intensive Care Rooms in the need hour
- Emergency Department with Emergency specialists
- 64 Specialities Professional Centers like Organ Transplantation Center, Vascular Health Center, Spine Health Center, Check-up Center, etc.
- IVF center
- Pain Clinic
- Stroke Center/Unit
- Pediatric Intensive Care Unit
- International Guest Department
- In an emergency transfer of patients via air, the hospital also has an air ambulance facility
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+99Process Involved for Hemispherectomy in Istanbul
- Preoperative: Evaluation using EEG, MRI, neuropsychological, and sometimes Wada tests; medication adjustments; education for family preparation.
- Intraoperative: Performed under general anaesthesia with either anatomical removal or functional disconnection techniques, guided by intraoperative monitoring (e.g., electrocorticography).
- Postoperative: ICU monitoring (2–3 days), wound and drain management, continuation of antiepileptic medications, and imaging to detect complications like bleeding or hydrocephalus.
- Rehabilitation: Early initiation of physical, occupational, and speech therapy, often starting within days with ongoing follow-up to regain motor skills, speech, and functional independence.
- Hemimegalencephaly: one side of the brain becomes abnormally large and causes frequent, hard-to-control seizures. Surgery disconnects or removes the affected half and usually stops the seizures.
- Extensive cortical dysplasia: developmental abnormalities in the brain’s cortex (like polymicrogyria) that cause severe, resistant epilepsy. Hemispherectomy disconnects the malfunctioning region.
- Perinatal stroke or encephalomalacia: damage from early-life stroke or brain injury often leads to persistent, localised seizures. Removing or isolating the damaged hemisphere effectively controls them.
- Rasmussen’s encephalitis is a rare, progressive condition characterised by a slow-growing inflammation that affects one side of the brain, resulting in seizures, weakness, and loss of function. Surgery halts the disease’s effects.
- Sturge–Weber syndrome: a congenital vascular brain disorder that causes drug-resistant seizures on one side; hemispherectomy can eliminate the seizure focus and preserve development.
- Hemiconvulsion–hemiplegia–epilepsy syndrome starts with prolonged convulsions on one side, leading to paralysis and ongoing seizures. Surgery is a key option when medications fail.
- Traumatic brain injury or porencephalic cyst: severe injury or resulting cysts in one hemisphere may lead to uncontrollable epilepsy; surgery disconnects the faulty tissue
- Preoperative assessment: Comprehensive evaluations (EEG, MRI, neuropsychological testing, sometimes Wada/MEG) determine seizure origins and assess whether the healthy hemisphere can support vital functions. Patients and families receive education about procedure expectations and medication adjustments.
- Craniotomy and exposure: Under general anaesthesia, a neurosurgeon makes a scalp incision and removes a portion of the skull to expose the diseased hemisphere.
- Hemisection or hemisphere removal
Based on specific needs, the surgeon either disconnects brain connections (functional hemispherectomy or hemispherotomy), including the corpus callosum and key white matter tracts, or removes large parts of the diseased hemisphere (anatomical hemispherectomy). - Hemostasis and cleaning: After disconnection or resection, the surgeon controls bleeding, irrigates the cavity with saline, and ensures any exposed brain tissue is cleaned and secured.
- Watertight dural repair, bone flap replacement, and layered scalp closure—all in one step: a finely sutured dura (often reinforced with graft), precise reattachment of the skull flap using screws or plates, and sequential closure of scalp layers (muscle, fascia, galea, skin) with a drain or dressing to reduce bleeding and swellin
- Immediate postoperative care: Patients usually spend 1–3 days in the ICU with close monitoring, followed by a hospital stay of around 5–7 days with neurological checks and early imaging to detect complications.
- Rehabilitation and recovery: Rehabilitation begins within days, with physical, occupational, and speech therapy to promote motor and cognitive recovery. Antiepileptic drugs are continued and tapered gradually. Long-term follow-up supports developmental progress and seizure monitoring.
- Hemispherotomy
- Callosotomy
- Hemidecortication
- Lesionectomy
- Lobectomy
- Resection
- High likelihood of stopping or significantly reducing seizures, with about 66–83 per cent of patients becoming seizure‑free.
- Prevents further brain damage by halting ongoing seizure activity.
- Enables the remaining hemisphere to reorganise functions like speech and movement, especially in young patients.
- Improves independence, mobility, daily function, and quality of life in most children.
- Stabilises or even enhances cognitive development, including language and memory, with many showing no decline over long-term follow-up.
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