Delalande O, Pinard J M, Jalin C, Fohlen M
Neurochirurgie. 1998 May;44(1 Suppl):127-32.
Corpus callosotmy was introduced in 1940 as a palliative treatment for generalized epilepsies. The improvement of the surgical technique, and the simplification of the initial "total commissurotomy" made that procedure proposed in order to decrease the frequency and the severity of the seizures occurring in the secondary geralzed epilepsies. However the indication criteria remain unclear, due to the difficulty for analysing the results and the feterogenity of the series. A careful selection requiring a comprehensive epilepsy team remains mandatory despite the relative simplicity of the procedure.
胼胝体切开术于1940年被引入作为治疗全身性癫痫的一种姑息性疗法。手术技术的改进以及最初“完全连合部切开术”的简化,使得该手术被提出用于降低继发性全身性癫痫发作的频率和严重程度。然而,由于分析结果存在困难以及系列研究的异质性,其适应证标准仍不明确。尽管该手术相对简单,但仍必须由一个全面的癫痫治疗团队进行仔细筛选。