posterior_callosotomy

Posterior callosotomy

A 2-stage corpus callosotomy is accepted as a palliative procedure for patients older than 16 years with, in particular, medically intractable generalized seizures and drop attack seizures and is preferable for a lower risk of disconnection syndrome.

Methods by which a previously performed craniotomy can be reopened for posterior callosotomy have already been reported.

Ito et al. published a surgical technique for posterior callosotomy using a interhemispheric parietooccipital approach with a semi-prone park-bench position as a second surgery. Although this procedure requires an additional skin incision in the parietooccipital region, it makes the 2-stage callosotomy safer and easier to perform because of reduced intracranial adhesion, less bleeding, and an easier approach to the splenium of the corpus callosum 1).


1)
Ito H, Morino M, Niimura M, Takamizawa S, Shimizu Y. Posterior callosotomy using a parietooccipital interhemispheric approach in the semi-prone park-bench position. J Neurosurg. 2015 Jun 5:1-4. [Epub ahead of print] PubMed PMID: 26047417.
  • posterior_callosotomy.txt
  • Last modified: 2020/04/23 10:40
  • by administrador