Endoscopic total corpus callosotomy: Cadaveric demonstration of a new approach

Biji Bahuleyan, Timothy W. Vogel, Shenandoah Robinson, Alan R. Cohen

Research output: Contribution to journalArticle

Abstract

Background: Callosotomy is a surgical option for treatment of a small number of patients with intractable seizures who are not candidates for surgical resection. The procedure is done conventionally with the aid of a microscope. In this article, we describe a new technique of endoscopic callosotomy through a parasagittal burr hole in a cadaveric model. Methods: We utilized this technique with a single frontal burr hole. Callosotomies were performed on 4 silicon-injected cadaver heads in our minimally invasive neurosurgical laboratory. Results: We were able to successfully perform total callosotomies in all cadaveric specimens without injury to the adjacent neurovascular structures. The advantages of our technique over microsurgery are the minimally invasive nature of the exposure and the improved visualization of the vascular structures near the rostrum and genu of the corpus callosum. A potential disadvantage we anticipate is the difficulty controlling bleeding in the event of vascular injury. Conclusion: We believe that this minimally invasive approach could have potential clinical applications.

Original languageEnglish (US)
Pages (from-to)455-460
Number of pages6
JournalPediatric Neurosurgery
Volume47
Issue number6
DOIs
StatePublished - Jul 1 2012
Externally publishedYes

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Keywords

  • Callosotomy
  • Endoscopy
  • Epilepsy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

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