Modified surgical procedure of corpus callosotomy: rostral corpus callosotomy via the transfrontal approach in dogs
Corpus callosotomy (CC) is a surgical procedure for palliative epilepsy surgery targeting generalized seizures. In humans, total CC (TCC) is primarily performed in pediatric patients, whereas anterior CC is typically performed in adult patients to avoid postoperative disconnection (split-brain) synd...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Veterinary Science |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fvets.2025.1649816/full |
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| author | Daisuke Hasegawa Rikako Asada Rikako Asada Takayuki Miura |
| author_facet | Daisuke Hasegawa Rikako Asada Rikako Asada Takayuki Miura |
| author_sort | Daisuke Hasegawa |
| collection | DOAJ |
| description | Corpus callosotomy (CC) is a surgical procedure for palliative epilepsy surgery targeting generalized seizures. In humans, total CC (TCC) is primarily performed in pediatric patients, whereas anterior CC is typically performed in adult patients to avoid postoperative disconnection (split-brain) syndrome, even though the antiseizure effect is inferior to TCC. In dogs, TCC may be more favorable; however, approaching and dividing the rostral part of the corpus callosum (genu) through a previously described bilateral rostrotentorial (dorsal) approach is challenging, particularly in meso- and dolichocephalic and/or large-breed dogs. This approach also risks damaging the rostral cerebral arteries that run along the rostral edge of the genu. Based on our experience, approaching and dividing the genu is easier, safer, and more reliable using the transfrontal approach. This report introduces the rostral CC (RCC) procedure via the transfrontal approach and presents three cases that underwent either transfrontal RCC combined with the dorsal approach to complete TCC or standalone RCC. Although the antiseizure efficacy of RCC alone remains unclear in dogs, this procedure may be useful for completing TCC. |
| format | Article |
| id | doaj-art-8a87301df77b44bf81f8b346044b082f |
| institution | Kabale University |
| issn | 2297-1769 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Veterinary Science |
| spelling | doaj-art-8a87301df77b44bf81f8b346044b082f2025-08-20T03:42:19ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692025-08-011210.3389/fvets.2025.16498161649816Modified surgical procedure of corpus callosotomy: rostral corpus callosotomy via the transfrontal approach in dogsDaisuke Hasegawa0Rikako Asada1Rikako Asada2Takayuki Miura3Laboratory of Veterinary Clinical Neurology, Graduate School of Nippon Veterinary and Life Science University, Tokyo, JapanLaboratory of Veterinary Clinical Neurology, Graduate School of Nippon Veterinary and Life Science University, Tokyo, JapanVeterinary Medical Teaching Hospital, Nippon Veterinary and Life Science University, Tokyo, JapanLaboratory of Veterinary Clinical Neurology, Graduate School of Nippon Veterinary and Life Science University, Tokyo, JapanCorpus callosotomy (CC) is a surgical procedure for palliative epilepsy surgery targeting generalized seizures. In humans, total CC (TCC) is primarily performed in pediatric patients, whereas anterior CC is typically performed in adult patients to avoid postoperative disconnection (split-brain) syndrome, even though the antiseizure effect is inferior to TCC. In dogs, TCC may be more favorable; however, approaching and dividing the rostral part of the corpus callosum (genu) through a previously described bilateral rostrotentorial (dorsal) approach is challenging, particularly in meso- and dolichocephalic and/or large-breed dogs. This approach also risks damaging the rostral cerebral arteries that run along the rostral edge of the genu. Based on our experience, approaching and dividing the genu is easier, safer, and more reliable using the transfrontal approach. This report introduces the rostral CC (RCC) procedure via the transfrontal approach and presents three cases that underwent either transfrontal RCC combined with the dorsal approach to complete TCC or standalone RCC. Although the antiseizure efficacy of RCC alone remains unclear in dogs, this procedure may be useful for completing TCC.https://www.frontiersin.org/articles/10.3389/fvets.2025.1649816/fullcorpus callosotomydogdrug-resistant epilepsyepilepsyepilepsy surgerygeneralized seizures |
| spellingShingle | Daisuke Hasegawa Rikako Asada Rikako Asada Takayuki Miura Modified surgical procedure of corpus callosotomy: rostral corpus callosotomy via the transfrontal approach in dogs Frontiers in Veterinary Science corpus callosotomy dog drug-resistant epilepsy epilepsy epilepsy surgery generalized seizures |
| title | Modified surgical procedure of corpus callosotomy: rostral corpus callosotomy via the transfrontal approach in dogs |
| title_full | Modified surgical procedure of corpus callosotomy: rostral corpus callosotomy via the transfrontal approach in dogs |
| title_fullStr | Modified surgical procedure of corpus callosotomy: rostral corpus callosotomy via the transfrontal approach in dogs |
| title_full_unstemmed | Modified surgical procedure of corpus callosotomy: rostral corpus callosotomy via the transfrontal approach in dogs |
| title_short | Modified surgical procedure of corpus callosotomy: rostral corpus callosotomy via the transfrontal approach in dogs |
| title_sort | modified surgical procedure of corpus callosotomy rostral corpus callosotomy via the transfrontal approach in dogs |
| topic | corpus callosotomy dog drug-resistant epilepsy epilepsy epilepsy surgery generalized seizures |
| url | https://www.frontiersin.org/articles/10.3389/fvets.2025.1649816/full |
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