In the literature there are many types of approaches and procedures for epilepsy, so that the result after corpus callosotomy surgery is difficult to summarize, because of the many variations, according to the authors in his critical review of literature, of the definition of a good or poor seizure outcome (22).
In a clinical study constituted by group of 9 women and 24 men, whose age at surgery ranged from 5 months to 19 years, was performed the corpus callosotomy, lesionectomy, temporal lobectomy, multiple subpial transections and VNS and analyzed the QOL and Engels cale of seizure in the postoperative period, with mean follow-up of 11,9 months (30).
In spite of the complications for both VNS and corpus callosotomy are rarely permanent, the VNS's complication rate is lower (8%; none permanent) than that for corpus callosotomy (21% all complications; 3.
Corpus callosotomy using conformal stereotactic radiosurgery.
Corpus callosotomy in children with intractable epilepsy using frameless stereotactic neuronavigation: 12-year experience at the Hospital for Sick Children in Toronto.
Clinical outcomes after corpus callosotomy in patients with bihemispheric malformations of cortical development.
Refractory generalized seizures: response to corpus callosotomy and vagal nerve stimulation.
Corpus callosotomy for treatment of pediatric epilepsy in the modern era.
Anterior corpus callosotomy in multistep invasive monitoring and surgery for atonic seizures.
We believe that no treatment, such as the ketogenic diet or invasive procedure, such as a corpus callosotomy
, should be undertaken until a definitive diagnosis has been made.