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Anterior Callosotomy as a Substitute for Hemispherectomy

  • Conference paper
Advances in Stereotactic and Functional Neurosurgery 4

Part of the book series: Acta Neurochirurgica Supplementum ((STEREOTACTIC,volume 30))

Summary

Two patients with epilepsy and large hemispheric lesions underwent section of the frontal fibres of the corpus callosum for the treatment of seizures refractory to medical treatment. A severely retarded girl of 18 had encephalotrigeminal angiomatosis (Sturge-Weber Syndrome) with multiple daily absences, tonic-clonic, myoclonic, atonic and adversive seizures since infancy. All types of fits–with the exception of adversive seizures and rare tonic-clonic fits—disappeared after anterior callosotomy. Another moderately retarded girl of 18 had an old cystic lesion over the entire territory of the left middle cerebral artery. She had had right hemiplegia since infancy and frequent brief absences and massive myoclonus triggered by unexpected sensory Stimuli since the age of six years. Following anterior callosotomy there was an almost complete disappearance of the absences and a marked reduction of her startle myoclonus.

Frontal callosotomy is a useful procedure in epilepties with large hemispheric lesions and carries less risk than hemispherectomy or total commissurotomy.

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Author information

Authors and Affiliations

  1. Divisão de Neurocirurgia Funcional, Hospital das Clínicas, Universidade de São Paulo, C.P. 8091, 01000, S. Paulo, SP, Brazil

    J. O. Avila

Authors
  1. J. O. Avila
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  2. J. Radvany
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  3. F. R. Huck
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  4. C. H. Pires de Camargo
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  5. R. Marino Jr.
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  6. P. C. Ragazzo
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  7. D. Riva
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Editor information

Editors and Affiliations

  1. Western General Hospital and Royal Infirmary, University of Edinburgh, Edinburgh, UK

    F. John Gillingham (Professor of Neurosurgery) (Professor of Neurosurgery)

  2. Academisch Ziekenhuis, Leuven, Belgium

    Jan Gybels (Professor of Neurosurgery) (Professor of Neurosurgery)

  3. Midland Center for Neurosurgery and Neurology and Queen Elizabeth Hospital, University of Birmingham, Birmingham, UK

    Edward Hitchcock (Professor of Neurosurgery) (Professor of Neurosurgery)

  4. Istituto di Neurochirurgia, Università Cattolica del Sacro Cuore, Roma, Italy

    Gian Franco Rossi (Professor of Neurosurgery) (Professor of Neurosurgery)

  5. Service de Neurochirurgie Fonctionnelle, Centre Hospitalier Sainte Anne, Paris, France

    Gábor Szikla (Maître de Recherche C.N.R.S., Neurosurgeon) (Maître de Recherche C.N.R.S., Neurosurgeon)

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© 1980 Springer-Verlag

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Avila, J.O. et al. (1980). Anterior Callosotomy as a Substitute for Hemispherectomy. In: Gillingham, F.J., Gybels, J., Hitchcock, E., Rossi, G.F., Szikla, G. (eds) Advances in Stereotactic and Functional Neurosurgery 4. Acta Neurochirurgica Supplementum, vol 30. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8592-6_17

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  • DOI: https://doi.org/10.1007/978-3-7091-8592-6_17

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-81591-5

  • Online ISBN: 978-3-7091-8592-6

  • eBook Packages: Springer Book Archive

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