Abstract
A discussion of multiple subpial transection (MST) in a text devoted to corpus callosotomy and its consequences requires some explanation. Callosotomy is the prototype of disconnection procedures in which the main goal is the prevention of spread of epileptic discharge from one hemisphere to the other. Elimination of this main route of interhemispheric communication reduces the likelihood that the two sides of the brain will be concurrently engulfed in paroxysmal activity. The occurrence of those particularly threatening symptoms (loss of consciousness, sudden falling or massive spasms) that depend on bihemispheric discharge is thereby prevented. What callosotomy does not do is interfere in any way with the generation of the primary epileptogenic disturbance.
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Morrell, F., Smith, M., Whisler, W. (1995). Multiple Subpial Transection: A Physiological Approach to Epilepsy Surgery. In: Reeves, A.G., Roberts, D.W. (eds) Epilepsy and the Corpus Callosum 2. Advances in Behavioral Biology, vol 45. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1427-9_26
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DOI: https://doi.org/10.1007/978-1-4899-1427-9_26
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