Journal
WORLD NEUROSURGERY
Volume 145, Issue -, Pages 455-461Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.wneu.2020.08.178
Keywords
Callosum; Commissure; Split-brain; Surgery
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Corpus callosotomy, a surgical procedure used in the management of epilepsy, has seen continuous refinement and development over the years, with various techniques and methods being introduced to improve outcomes and reduce postoperative complications.
Corpus callosotomy, first used in the management of epilepsy by William P. van Wagenen in 1940, was for years a contentious procedure. Two decades later, Nobel Laureate Roger W. Sperry's split-brain studies inspired surgeons to reexamine the role of corpus callosotomy in the control of epileptic seizures. In 1962, Joseph Bogen and Philip Vogel performed complete corpus callosotomies in patients with a history of generalized seizures. The identification of a set of postsurgical disconnection symptoms and other neurologic deficits begged the improvement of the surgical technique. Modifications to the operation, including anterior callosotomy, posterior callosotomy, partial callosotomy, staged callosotomy, microsurgical techniques, and radiosurgical techniques, continue to refine the procedure.
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