The interhemispheric transcallosal-transversal approach to the lesions of the anterior and middle third ventricle: surgical validity and neuropsychological evaluation of the outcome

Brain and Cognition
M MazzaR J Galzio

Abstract

Based on the observation of the course of callosal fibres and of their artero-venous support as appearing in a microanatomic study, the Authors propose a variant of standard callosotomy procedure by the introduction of the transverse section of callosal fibres. This technique would allow the surgeon to spare a larger number of callosal fibres by the combined effect of a lower direct mechanical traction on fibres and a lower impact on artero-venous microcircle. The neuropsychological outcome of the patients who underwent this kind of procedure was evaluated. Fourteen patients affected by occupying-space lesions involving the anterior and middle third ventricle were included in the study. Ten patients underwent transverse callosotomy, four subjects received standard sagittal callosotomy. A control group was also included in the study. All patients underwent a pre-operative and six months post-operative neuropsychological evaluation focused on performance at cognitive and attentional tasks. No disturbances in executive function were observed in either group. Patients receiving transverse callosotomy performed as well as control group subjects in attentive tasks, which is not the case of patients undergoing sagittal callosotomy who...Continue Reading

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Citations

Oct 24, 2006·Journal of Neurology, Neurosurgery, and Psychiatry·Maria MataróCarme Junqué
Sep 6, 2012·Acta neurochirurgica·Eun Suk ParkChang Jin Kim
Sep 12, 2015·Journal of Neurosurgery·Christos KoutsarnakisGeorge Stranjalis
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Dec 6, 2005·Clinical Neurology and Neurosurgery·Henry E AryanMichael L Levy
Jun 3, 2008·Surgical Neurology·Yang YangXingang Li
Apr 29, 2015·World Neurosurgery·Christos KoutsarnakisGeorge Stranjalis
Aug 6, 2014·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Antonio Di IevaManfred Tschabitscher
May 3, 2012·World Neurosurgery·Adib A Abla, Robert F Spetzler
Mar 16, 2017·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·A E BykanovA A Potapov
Jan 9, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jehuda SolemanJonathan Roth
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Aug 28, 2020·Neurosurgical Review·A Kaywan AftahyJens Gempt
Apr 26, 2013·Neurosurgery·R Shane TubbsAaron A Cohen-Gadol
Sep 25, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Wanchun ZhuJian Gong
Oct 16, 2015·The Journal of Craniofacial Surgery·Zhen WangYongjie Wang
May 26, 2021·World Neurosurgery·Abhidha ShahAtul Goel

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