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Hemispheric Disconnection: Callosotomy and Hemispherotomy

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Advances and Technical Standards in Neurosurgery

Part of the book series: Advances and Technical Standards in Neurosurgery ((NEUROSURGERY,volume 26))

Abstract

Callosotomy and hemispherotomy are both neurosurgical procedures available to disconnect the cerebral hemisphere. Callosotomy disconnects the hemispheres partly or completely, one from the other, while hemispherotomy disconnects one hemisphere from the rest of the central nervous system. Callosotomy has been in the neurosurgical armamentarium for 60 years, but gained clear recognition as a valuable surgical procedure in the treatment of epilepsy during the seventies. While anatomical hemispherectomy in humans was first carried out more than seventy five years ago, the concept of disconnection rather than removal of the cerebral hemisphere for control of seizures, became reality twenty five years ago with the introduction of functional hemispherectomy. With the hemispherotomy technique, the emphasis is placed on greater disconnection and smaller excision.

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Authors and Affiliations

  1. Neurosurgery Service, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

    Jean-Guy Villemure & Olivier Vernet

  2. Neurosurgery Service, Fondation Ophtalmologique Adolphe de Rothschild, Paris, France

    Olivier Delalande

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  1. Jean-Guy Villemure
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  2. Olivier Vernet
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  1. Bordeaux, France

    F. Cohadon (Editor-in-Chief) (Editor-in-Chief)

  2. Ljubljana, Slovenia

    V. V. Dolenc

  3. Lisbon, Portugal

    J. Lobo Antunes

  4. Cambrigde, UK

    J. D. Pickard

  5. Munich, Germany

    H.-J. Reulen

  6. Lyon, France

    M. Sindou

  7. London, UK

    A. J. Strong

  8. Genève, Switzerland

    N. de Tribolet

  9. Utrecht, The Netherlands

    C. A. F. Tulleken

  10. Kuopio, Finland

    M. Vapalahti

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Villemure, JG., Vernet, O., Delalande, O. (2000). Hemispheric Disconnection: Callosotomy and Hemispherotomy. In: Cohadon, F., et al. Advances and Technical Standards in Neurosurgery. Advances and Technical Standards in Neurosurgery, vol 26. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6323-8_2

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