Surgical Aspects of Corpus Callosotomy
Takehiro Uda, Noritsugu Kunihiro, Ryoko Umaba, Saya Koh, Toshiyuki Kawashima, Shohei Ikeda, Kotaro Ishimoto, Takeo Goto
Abstract
Corpus callosotomy (CC) is one of the options in epilepsy surgeries to palliate patient seizures, and is typically applied for drop attacks. The mechanisms of seizure palliation involve disrupting the propagation of epileptic activity to the contralateral side of the brain. This review article focuses on the surgical aspects of CC. As a variations of CC, anterior two-thirds, posterior one-third, and total callosotomy are described with intraoperative photographs. As less-invasive surgical variations, recent progress in endoscopic CC, and CC without craniotomy, is described. CC remains acceptable under the low prevalence of complications, and surgeons should make the maximum effort to minimize the complication rate.