• Journal of neurosurgery · Nov 2015

    Posterior callosotomy using a parietooccipital interhemispheric approach in the semi-prone park-bench position.

    • Hirotaka Ito, Michiharu Morino, Manabu Niimura, Sachiko Takamizawa, and Yoshie Shimizu.
    • Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Tokyo, Japan.
    • J. Neurosurg. 2015 Nov 1;123(5):1322-5.

    AbstractA 2-stage corpus callosotomy is accepted as a palliative procedure for patients older than 16 years with, in particular, medically intractable generalized epilepsy and drop attack seizures and is preferable for a lower risk of disconnection syndrome. Although the methods by which a previously performed craniotomy can be reopened for posterior callosotomy have already been reported, posterior corpus callosotomy using a parietooccipital interhemispheric approach with the patient in a semi-prone park-bench position has not been described in the literature. Here, the authors present a surgical technique for posterior callosotomy using a parietooccipital interhemispheric approach with a semi-prone park-bench position as a second surgery. Although this procedure requires an additional skin incision in the parietooccipital region, it makes the 2-stage callosotomy safer and easier to perform because of reduced intracranial adhesion, less bleeding, and an easier approach to the splenium of the corpus callosum.

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