Corpus callosotomy in children

Tai-Tong Wong, Shang Yeong Kwan, Kai Ping Chang, Wu Hsiu-Mei, Tsui Fen Yang, Ying Sheue Chen, Lee Yi-Yen

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Introduction: For children of medical resistant epilepsy without resectable epileptogenic zone, corpus callosotomy and vagus nerve stimulation (VNS) therapy are the two commonly used palliative epilepsy surgeries that can be considered. Although their routes and mechanisms to control epilepsy are different, both surgeries have shown their efficacy in selected candidates. The most common candidates for palliative surgery are in infants and children with organic encephalopathic types of epilepsy including infantile spasms/West syndrome, Lennox-Gastaut syndrome (LGS), severe epilepsy with multiple independent spike foci (SE-MISF) and selected symptomatic partial epilepsy to relief seizures and to stabilize co morbidities (Hirsch and Arzimanoglou, Revue Neurologique [Hirsch E and Arzimanoglou A, Rev Neurol (Paris). 160 Spec No 1:5S210-S219, (2004); Ohtahara S and Yamatogi Y, J Clin Neurophysiol 20(6):398-407, (2003); Wheless JW and Epilepsia 45(Suppl 5):17-22, (2004); Trevathan E, J Child Neurol 17 Suppl 2:2S9-2S22, (2002]. Discussion: Callosotomy is a major and destructive but affordable surgical procedure as compare to the relative simple but costly extracranial procedure of VNS therapy. However, callosotomy is a safe and effective palliative operation in neurosurgeons familiar with the surgical procedure. Equipments for callosotomy can be as simple as headlight and binocular loupes, self-retention brain retractor, bipolar cauterization, and simple microinstruments.

Original languageEnglish
Pages (from-to)999-1011
Number of pages13
JournalChild's Nervous System
Volume22
Issue number8
DOIs
Publication statusPublished - Aug 1 2006
Externally publishedYes

Keywords

  • Children
  • Corpus callosotomy
  • Epilepsy surgery
  • Lennox-Gastaut syndrome
  • Resistant epilepsy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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    Wong, T-T., Kwan, S. Y., Chang, K. P., Hsiu-Mei, W., Yang, T. F., Chen, Y. S., & Yi-Yen, L. (2006). Corpus callosotomy in children. Child's Nervous System, 22(8), 999-1011. https://doi.org/10.1007/s00381-006-0133-4