Corpus callosotomy
Corpus callosotomy
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DOI：
10.1007/s00701-015-2619-x
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发表时间：
2016-01-01
影响因子：
2.4
通讯作者：
Cabrilo, Ivan
中科院分区：
文献类型：
--
作者：
Schaller, Karl;Cabrilo, Ivan
胼胝体切开术是一种有效的，相对低风险的，姑息性的程序与药物难治性癫痫患者的选定人群。在这里我们描述这项技术。一个纵裂显微手术方法进行。神经导航有助于定位。使用超声吸引器将胼胝体横切至同侧脑室顶部;然后识别并分离小脑顶和喙。如果要进行胼胝体全切开术，则要小心地进行压部横切，以保留穹窿的边缘。显微外科技术和边缘系统解剖学知识对于保证手术安全有效至关重要。
Corpus callosotomy is an effective, relatively low-risk, palliative procedure for a selected population of patients with medically intractable epilepsy. Here we describe this technique.An interhemispheric microsurgical approach is performed. Neuronavigation facilitates orientation. The callosal body is transected through to the roof of the ipsilateral ventricle using an ultrasonic aspirator; the genu and rostrum are then identified and also split. If a total callosotomy is performed, transection of the splenium is performed with care given to preserve the crus of the fornix.Meticulous microsurgical technique and knowledge of the limbic system's anatomy is essential to keeping this procedure safe and effective.