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

Abstract

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.