Corpus callosotomy: some aspects of its microsurgical anatomy. 1995

A J Gonçalves Ferreira, and J P Farias, and M H Carvalho, and J Melancia, and J Miguéns
Department of Neurosurgery, Lisbon Faculty of Medicine, Portugal.

Corpus callosotomy was reported for the first time by Dandy in 1922 and developed by Van Wagenen and Herren in 1940, but only Wilson in 1975 started performing it with a microsurgical technique. Its indications have remained controversial for a long time, but during the last years new interest has been raised concerning callosotomy as a treatment for some kinds of generalized epilepsy or as route to the anterior ventricular system. The microsurgical anatomy of the corpus callosum has therefore regained interest. With this goal in mind, the authors studied some aspects of the microsurgical anatomy of the corpus callosum, namely its dimensions, variability and topography, as well as the transcallosal access to the deep interfrontal region and to the third ventricle. This study was carried out on 30 normal adult brains, obtained from routine autopsies, that were submitted to a special preparation procedure and dissected with microsurgical technique. The main aspects of the operating features, the measurements made and the variation in the different parameters are described. Some references are proposed respecting the extent of anterior partial and subtotal callosotomy.

UI MeSH Term Description Entries
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D002102 Cadaver A dead body, usually a human body. Corpse,Cadavers,Corpses
D003337 Corpus Callosum Broad plate of dense myelinated fibers that reciprocally interconnect regions of the cortex in all lobes with corresponding regions of the opposite hemisphere. The corpus callosum is located deep in the longitudinal fissure. Interhemispheric Commissure,Neocortical Commissure,Callosum, Corpus,Callosums, Corpus,Commissure, Interhemispheric,Commissure, Neocortical,Commissures, Interhemispheric,Commissures, Neocortical,Corpus Callosums,Interhemispheric Commissures,Neocortical Commissures
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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