A corpus callosotomy, sometimes called split-brain surgery, may be performed in patients with the most extreme and uncontrollable forms of epilepsy, when frequent seizures affect both sides of the brain. A serious type of seizure -- called a drop attack -- often results in the person having sudden falls with a high risk of injury. In addition, people considered for corpus callosotomy do not experience improvement after receiving treatment with anti-seizure medications.
The corpus callosum is a band of nerve fibers located deep in the brain that connects the two halves (hemispheres) of the brain. It helps the hemispheres share information, but it also contributes to the spread of seizure impulses from one side of the brain to the other. A corpus callosotomy severs the corpus callosum, interrupting the spread of seizures from hemisphere to hemisphere. Seizures generally do not completely stop after this procedure, but the seizures usually become less severe, as they cannot spread to the opposite side of the brain. |