Journal article
Corpus callosotomy.
- Schaller K Neurosurgery Division, Department of Clinical Neurosciences, Faculty of Medicine, Geneva University Medical Centre, Rue Gabrielle-Perret-Gentil 4, 1211, Genève 14, Switzerland.
- Cabrilo I Neurosurgery Division, Department of Clinical Neurosciences, Faculty of Medicine, Geneva University Medical Centre, Rue Gabrielle-Perret-Gentil 4, 1211, Genève 14, Switzerland. iv.cabrilo@gmail.com.
- 2015-11-11
Published in:
- Acta neurochirurgica. - 2016
Corpus callosotomy
Epilepsy surgery
Technique
Corpus Callosum
Drug Resistant Epilepsy
Humans
Microsurgery
Neuronavigation
Neurosurgical Procedures
English
BACKGROUND
Corpus callosotomy is an effective, relatively low-risk, palliative procedure for a selected population of patients with medically intractable epilepsy. Here we describe this technique.
METHOD
An interhemispheric microsurgical approach is performed. Neuronavigation facilitates orientation. The callosal body is transected through to the roof of the ipsilateral ventricle using an ultrasonic aspirator; the genu and rostrum are then identified and also split. If a total callosotomy is performed, transection of the splenium is performed with care given to preserve the crus of the fornix.
CONCLUSIONS
Meticulous microsurgical technique and knowledge of the limbic system's anatomy is essential to keeping this procedure safe and effective.
Corpus callosotomy is an effective, relatively low-risk, palliative procedure for a selected population of patients with medically intractable epilepsy. Here we describe this technique.
METHOD
An interhemispheric microsurgical approach is performed. Neuronavigation facilitates orientation. The callosal body is transected through to the roof of the ipsilateral ventricle using an ultrasonic aspirator; the genu and rostrum are then identified and also split. If a total callosotomy is performed, transection of the splenium is performed with care given to preserve the crus of the fornix.
CONCLUSIONS
Meticulous microsurgical technique and knowledge of the limbic system's anatomy is essential to keeping this procedure safe and effective.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1007/s00701-015-2619-x
- PMID 26553285
- Persistent URL
- https://folia.unifr.ch/global/documents/89959
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