Endoscope-Assisted Microsurgery of the Corpus Callosum

Abstract

The authors describe the use of a rigid endoscope lens to enhance microsurgical visualization of the corpus callosum. Using cadaver preparations, endoscopic dissection was carried out through a narrow corridor without significant retraction of the brain. The endoscope improves the operative exposure in corpus callosotomy and other transcallosal procedure.

Corpus Callosum - Endoscopy - Epilepsy - Microsurgery

References

• 1 Apuzzo M LJ. Surgery of masses affecting the third ventricular chamber: techniques and strategies.  Clinical Neurosurgery. 1988;  34 499-522
• 2 Cohen A R, Shucart W A. Ventriculoscopic management of colloid cysts of the third ventricle. In: Manwaring KH, Crone KR (Eds): Neuroendoscopy. New York: Mary Ann Liebert 1992 1: 109-117
• 3 Fandino-Franky J, Torres M, Narino D, Fandino J. Corpus callosotomy in Colombia and some reflections on care and research among the poor in developing countries.  Epilepsia. 2000;  41 Suppl 4 S22-27
• 4 Lawton M T, Golfinos J G, Spetzler R F. The contralateral transcallosal approach: Experience with 32 patients.  Neurosurgery. 1996;  39 729-735
• 5 Lewis A I, Crone K R, Taha J, van Loveren H R, Yeh H S, Tew Jr J M. Surgical resection of third ventricle colloid cysts. Preliminary results, comparing transcallosal microsurgery with endoscopy.  J Neurosurg. 1994;  81 174-178
• 6 Ojemann G A. Surgical therapy for medically intractable epilepsy.  J Neurosurgery. 1987;  66 489-499
• 7 Papo J, Quattrini A, Provinciali L, Rychlicki F, Del Pesce M, Paggi A, Ortenzi F, Recchioni M A, Censori B. Callostomy for the treatment of drug resistant generalized seizures.  Acta Neurochirurgica.. 1990;  Suppl 50 134-135
• 8 Pendl G, Eder H G, Scroettner O, Leber K A. Corpus callosotomy with radiosurgery.  Neurosurgery. 1999;  45 303-307
• 9 Rossi G F, Colicchio G, Marchese E, Pompucci A. Callosotomy for severe epilepsies with generalized seizures: Outcome and prognostic factores.  Acta Neurochir (Wien). 1996;  138 221-227
• 10 Sakas D E, Phillips J. Anterior callosotomy in the management of intractable epileptic seizures: Significance of the extent of resection.  Acta Neurochir (Wien). 1996;  138 700-707
• 11 Sorenson J M, Wheless J W, Baumgartner J E, Thomes A B, Brookshire B L, Clifton G L, Willmore L J. Corpus callosotomy for medically intractable seizures.  Pediatr Neurosurg. 1997;  27 260-267