Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2004-6-29
pubmed:abstractText
Based on the observation of the course of callosal fibres and of their artero-venous support as appearing in a microanatomic study, the Authors propose a variant of standard callosotomy procedure by the introduction of the transverse section of callosal fibres. This technique would allow the surgeon to spare a larger number of callosal fibres by the combined effect of a lower direct mechanical traction on fibres and a lower impact on artero-venous microcircle. The neuropsychological outcome of the patients who underwent this kind of procedure was evaluated. Fourteen patients affected by occupying-space lesions involving the anterior and middle third ventricle were included in the study. Ten patients underwent transverse callosotomy, four subjects received standard sagittal callosotomy. A control group was also included in the study. All patients underwent a pre-operative and six months post-operative neuropsychological evaluation focused on performance at cognitive and attentional tasks. No disturbances in executive function were observed in either group. Patients receiving transverse callosotomy performed as well as control group subjects in attentive tasks, which is not the case of patients undergoing sagittal callosotomy who show a marked deficit in selective attention for left side visual field. The observed more favourable neuropsychological outcome supports transverse callosotomy as a valid alternative method to standard longitudinal callosotomy in third ventricle surgery.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0278-2626
pubmed:author
pubmed:issnType
Print
pubmed:volume
55
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
525-34
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15223199-Adult, pubmed-meshheading:15223199-Analysis of Variance, pubmed-meshheading:15223199-Astrocytoma, pubmed-meshheading:15223199-Attention, pubmed-meshheading:15223199-Brain Diseases, pubmed-meshheading:15223199-Cerebral Ventricle Neoplasms, pubmed-meshheading:15223199-Cerebral Ventricles, pubmed-meshheading:15223199-Child, pubmed-meshheading:15223199-Cognition, pubmed-meshheading:15223199-Corpus Callosum, pubmed-meshheading:15223199-Cysts, pubmed-meshheading:15223199-Female, pubmed-meshheading:15223199-Follow-Up Studies, pubmed-meshheading:15223199-Frontal Lobe, pubmed-meshheading:15223199-Humans, pubmed-meshheading:15223199-Male, pubmed-meshheading:15223199-Memory, pubmed-meshheading:15223199-Middle Aged, pubmed-meshheading:15223199-Neuropsychological Tests, pubmed-meshheading:15223199-Neurosurgical Procedures, pubmed-meshheading:15223199-Postoperative Complications, pubmed-meshheading:15223199-Treatment Outcome
pubmed:year
2004
pubmed:articleTitle
The interhemispheric transcallosal-transversal approach to the lesions of the anterior and middle third ventricle: surgical validity and neuropsychological evaluation of the outcome.
pubmed:affiliation
Department of Psychiatry, University of L'Aquila, S. Salvatore Hospital, L'Aquila, Italy. mazzamon@tin.it
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Controlled Clinical Trial