Stereotactic anterior callosotomy as a treatment method of severe forms of symptomatic epilepsy


  • Kostyantyn Kostiuk Romodanov Neurosurgery Institute, Kiev, Ukraine



symptomatic epilepsy, seizures, stereotactic anterior callosotomy


The results of stereotactic anterior callosotomy in patients with primary and secondarily generalized seizure, at whom epileptic focus resection was impossible, were estimated.

Stereotactic callosotomy was performed in 5 patients (there were 3 children among them) with symptomatic epilepsy. 4 patients had daily seizures, 1 — primary generalized seizures. There were no postoperative complications, all patients were discharged on the 7–8th day after surgery. The postoperative follow-up was from 3 to 18 months, in average 11 months, one patient became seizure free, in 2 — the seizures’ frequency decreased for 90% and, in other 2 patients — for 50% and more.

The results of the research confirm that stereotactic callosotomy is a safe palliative surgical method and may recommended for patients with drug-resistant symptomatic epilepsy, at whom epileptic focus resection is impossible.


French J.A. Therapeutic strategies in epilepsy / J.A. French, N. Delanty. —Oxford: Clin. Publish., 2009. — 341 p.

Van Wagenen W.P. Surgical division of commissural pathways in the corpus callosum. Relation to spread of an epileptic attack / W.P. Van Wagenen, R.Y. Herron // Arch. Neurol. Psychyat. — 1940. — V.44. — P.740–759.

Bogen J.E. Treatment of generalized by cerebral commissurotomy / J.E. Bogen, P.J. Vogel // Surg. Forum. — 1963. — V.14. — P.431–433.

Luessenhop A.J. Surgical disconnection of cerebral hemispheres for intractable seizures: results in infancy and childhood / A.J. Luessenhop, T.C. Cruz, G.M. Fenichel // J.A.M.A. — 1970. — V.231. — P.1630–1636.

Bogen J.E. Callosal lesions and behavior: History and modern concepts / J.E. Bogen, P.J. Vogel // Epilepsy Behav. — 2003 — V.4. — P.607–617.

Corpus callosotomy / A.A. Asadi-Pooya, A. Sharan, M. Nei, M.R. Sperling // Epilepsy Behav. — 2008. — V.13, N2. — P.271–278.

Corpus callosotomy in refractory idiopathic generalized epilepsy / S. Jenssen, M.R. Sperling, J.I. Tracy [et al.] // Seizure. — 2006. — V.15, N8. — P.621–629.

Comparison of corpus callosotomy and vagus nerve stimulation in children with Lennox-Gastaut syndrome / S.J. You, H.C. Kang, T.S. Ko [et al.] // Brain Dev. — 2008. — V.30, N3. — P.195–199.

Corpus callosotomy in a patient of hemimegalencephaly andLennox– Gastaut syndrome / S.Y. Kwan, H.Y. Shyu, J.H. Lin [et al.] // Brain Dev. — 2008. — V.30, N10. — P.643–646.

Changing the paradigm of 1-stage total callosotomy for the treatment of pediatric generalized epilepsy / K.W. Shim, Y.M. Lee, H.D. Kim [et al.] // J. Neurosurg. Pediatr. — 2008. — V.2, N1. — P.29–36.

Corpus callosotomy for treatment of pediatric epilepsy in the modern era / S.Y. Rahimi,Y.D.Park, M.R. Witcher [et al.] // Pediatr. Neurosurg. — 2007. — V.43, N3. — P.202–208.

Complete versus anterior two-thirds corpus callosotomy in children: analysis of outcome / L. Jalilian, D.D. Limbrick, K. Steger-May [et al.] // J. Neurosurg. Pediatr. — 2010. — V.6, N3. — P.257–266.

Outcome after extended callosal section in patients with primary idiopathic generalized epilepsy / A. Cukiert, J.A. Burattini, P.P. Mariani [et al.] // Epilepsia. — 2009. — V.50, N6. — P.1377–1380.

Roberts D.W. Section of the corpus callosum for epilepsy / D.W. Roberts // Operative neurosurgical techniques; ed. H. Schmidek. — Sweet, 1995. — 3rd ed. — P.1351–1358.

Шершевер А.С. Хирургическое лечение эпилепсии / А.С. Шершевер. — Екатеринбург: АПРИО, 2005. — 164 с.

Corpus callosotomy using conformal stereotactic radiosurgery / M.A. Celis, S. Moreno-Jimnez, J.M.

Lrraga-Gutirrez [et al.] // Childs Nerv. Syst. — 2007. — V.23, N8. — P.917–920.

Efficacy and safety of radiosurgical callosotomy: a retrospective analysis / M. Feichtinger, O. Schrttner, H. Eder [et al.] // Epilepsia. — 2006. — V.47, N7. — P.1184–1191.

Image-guided, frameless stereotactic sectioning of the corpus callosum in children with intractable epilepsy / M. Hodaie, A. Musharbash, H. Otsubo [et al.] // Pediatr. Neurosurg. — 2001. — V.34. — P.286–294.

Outcome with respect to epileptic seizures / J. Engel, P.C. Van Ness, T.B. Rasmussen, LM. Ojemann // Surgical Treatment of the Epilepsies; ed. J. Engel. — N.Y.: Raven Press, 1993. — 2nd ed. — P.609–621.

Long-term seizure outcome after corpus callosotomy: a retrospective analysis of 95 patients / T. Tanriverdi, A. Olivier, N. Poulin [et al.] // J. Neurosurg. — 2009. — V.110, N2. — P.332–342.

Lucas T.H. Corpus callosotomy: Indications, surgical procedures and outcome / T.H. Lucas, G.A. West // Epilepsy Surgery: Principles and Controversies; ed. J.W. Miller, D.L. Silbergeld. —New York;London: Naylor and Francis Group, 2006. — P.541–551.

Spencer S. Anterior, total and two-stage corpus callosum section: differential and incremental seizure responses / S. Spencer, D. Spencer, K. Sass // Epilepsia. — 1993. — V.34. — P.561–567.

Sunaga S. Long-term follow-up of seizure outcomes after corpus callosotomy /S. Sunaga, H. Shimizu, H. Sugano // Seizure. — 2009. — V.18, N2. — P.124–128.

Laitinen L.V. Stereotactic lesion in the knee of the corpus callosum in the treatment of emotional disorders / L.V. Laitinen // Lancet. — 1972. — V.1. — P.472–475.



How to Cite

Kostiuk, K. (2011). Stereotactic anterior callosotomy as a treatment method of severe forms of symptomatic epilepsy. Ukrainian Neurosurgical Journal, (3), 66–70.



Original articles