{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:01:22Z","timestamp":1787828482223,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Corpus callosotomy (CC) is a major disconnection procedure that functionally isolates the cerebral hemispheres, thereby interrupting the spread of epileptic activity from one hemisphere to the other. It is extremely useful in children suffering from non-localized drug refractory epilepsy, especially drop attacks. The technique has evolved from microscopic to minimally invasive endoscopic surgery. The extent of callosotomy also varies based on the institutional practices ranging from anterior 1\/3\n                      <jats:sup>rd<\/jats:sup>\n                      to total corpus callosotomies (TCC). The performance of TCC in conjunction with anterior, posterior, and hippocampal commissurotomies was described for the first time by the senior author from our institution.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe the technique of performing endoscopic total corpus callosotomy, and pan commissurotomy using the interhemispheric corridor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A seven-year-old right-handed male child with seizure onset at the age of six months presented with three types of semiologies consisting of myoclonic jerks, frequent head drops and tonic posturing involving right upper and lower limbs with secondary generalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Video electroencephalography (VEEG) revealed diffuse slowing of the background, and slow spike and wave pattern. Generalized paroxysmal fast activity (GPFA) was noted in the VEEG, suggestive of LGS. MRI brain revealed bilateral parieto-occipital gliosis and gross brain atrophy. Ictal SPECT localized to left temporo-occipital area, while magnetoencephalography revealed bilateral temporal localization. Patient underwent TCC with pancommissurotomy. The patient was seizure-free (ILAE Class 3) at one-year follow up with no drop attacks, and significant reduction noted in other seizure types.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Endoscopic corpus callosotomy and pan commissurotomy using the interhemispheric corridor is an elegant and minimally invasive technique best suited for appropriately selected children with refractory epilepsy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.338654","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:38:10Z","timestamp":1708475890000},"page":"63-67","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Endoscopic Total Corpus Callosotomy and Pan Commissurotomy for Lennox\u2013Gastaut Syndrome"],"prefix":"10.4103","volume":"70","author":[{"given":"Ramesh","family":"Doddamani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi Chandra","family":"Kota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nihal","family":"Ahemad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarat P.","family":"Chandra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manjari","family":"Tripathi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20240907","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1227\/NEU.0000000000001060","article-title":"Endoscopic-Assisted (Through a Mini Craniotomy) corpus callosotomy combined with anterior, hippocampal, and posterior commissurotomy in lennox-gastaut syndrome: A pilot study to establish its safety and efficacy","volume":"78","author":"Chandra","year":"2016","journal-title":"Neurosurgery"},{"key":"R2-12-20240907","doi-asserted-by":"crossref","first-page":"571","DOI":"10.4103\/0028-3886.162056","article-title":"Endoscopic epilepsy surgery: Emergence of a new procedure","volume":"63","author":"Chandra","year":"2015","journal-title":"Neurol India"},{"key":"R3-12-20240907","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1227\/NEU.0000000000000675","article-title":"Endoscopy-assisted interhemispheric transcallosal hemispherotomy: Preliminary description of a novel technique","volume":"76","author":"Chandra","year":"2015","journal-title":"Neurosurgery"},{"key":"R4-12-20240907","doi-asserted-by":"crossref","first-page":"837","DOI":"10.4103\/0028-3886.325379","article-title":"Endoscopic hemispherotomy for nonatrophic rasmussen's encephalopathy","volume":"69","author":"Doddamani","year":"2021","journal-title":"Neurol India"},{"key":"R5-12-20240907","doi-asserted-by":"crossref","first-page":"187","DOI":"10.3171\/2018.8.PEDS18131","article-title":"Endoscope-assisted (with robotic guidance and using a hybrid technique) interhemispheric transcallosal hemispherotomy: A comparative study with open hemispherotomy to evaluate efficacy, complications, and outcome","volume":"23","author":"Chandra","year":"2019","journal-title":"J Neurosurg Pediatr"},{"key":"R6-12-20240907","first-page":"1","article-title":"Robotic thermocoagulative hemispherotomy: Concept, feasibility, outcomes, and safety of a new \u201cbloodless\u201d technique","volume":"2","author":"Chandra","year":"2021","journal-title":"J Neurosurg Pediatr"},{"key":"R7-12-20240907","doi-asserted-by":"crossref","first-page":"159","DOI":"10.3171\/2019.8.PEDS19148","article-title":"Enhancing outcomes of endoscopic vertical approach hemispherotomy: Understanding the role of \u201ctemporal stem\u201d residual connections causing recurrence of seizures","volume":"25","author":"Girishan","year":"2020","journal-title":"J Neurosurg Pediatr"}],"container-title":["Neurology India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.338654","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:21:20Z","timestamp":1787768480000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.338654"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/0028-3886.338654","relation":{},"ISSN":["0028-3886"],"issn-type":[{"value":"0028-3886","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}