Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Oct 29;166(1):429.
doi: 10.1007/s00701-024-06319-0.

Frontal lobe disconnection: How I do it

Vich Yindeedej  1   2   3 , Takehiro Uda  4   5 , Noritsugu Kunihiro  2 , Takeo Goto  1
Affiliations

Frontal lobe disconnection: How I do it

Vich Yindeedej et al. Acta Neurochir (Wien). .

Abstract

Background: The objective of frontal lobe disconnection (FD) is to isolate the frontal lobe without removing brain parenchyma, to achieve epilepsy outcomes comparable to those for frontal lobectomy but with fewer complications, since a large post-operative cavity is not created.

Method: Main surgical steps include "Identification of the central sulcus" to ensure the preservation of motor function, and "Frontal lobe disconnection" comprising: 1) fronto-parietal disconnection; 2) fronto-basal disconnection; 3) anterior corpus callosotomy; and 4) insula and basal ganglia disconnection.

Conclusion: In performing FD, consideration of the disconnection boundary based on an anatomical understanding of white matter tracts is essential.

Keywords: Disconnection; Epilepsy; Frontal lobe; Surgery.

PubMed Disclaimer

References

    1. Cossu G, Lebon S, Seeck M et al (2018) Periinsular anterior quadrantotomy: technical note. J Neurosurg Pediatr 21(2):124–132 - DOI - PubMed
    1. Jahangiri FR, Dobariya A, Kruse A et al (2020) Mapping of the motor cortex. Cureus 12(9):e10645 - PubMed - PMC
    1. Kinoshita M, Miyashita K, Tsutsui T et al (2016) Critical neural networks in awake surgery for gliomas. Neurol Med Chir (Tokyo) 56(11):674–686 - DOI - PubMed
    1. Komiyama M (2017) Functional venous anatomy of the brain for neurosurgeons. Japanese J Neurosurg 26(7):488–495 - DOI
    1. Morishita T, Okun MS, Burdick A et al (2013) Cerebral venous infarction: a potentially avoidable complication of deep brain stimulation surgery. Neuromodulation 16(5):407–13 - DOI - PubMed - PMC

MeSH terms

LinkOut - more resources