Endoscope-assisted posterior quadrant disconnection plus corpus callosotomy: case report

Area of Science:

• Neurosurgery
• Epileptology

Background:

• Intractable epilepsy affects many children, with limited treatment options.
• Current surgical treatments for refractory epilepsy carry significant risks.
• Minimally invasive surgical techniques are needed to reduce morbidity.

Observation:

• A 17-year-old male with medically refractory epilepsy underwent treatment.
• An endoscope-assisted keyhole approach was used for posterior quadrantectomy and corpus callosotomy.
• The procedure was performed through two mini-craniotomies.

Findings:

• The endoscope-assisted approach achieved surgical goals of disconnection.
• This technique reduced the need for large craniotomy exposure.
• This is the first reported case of endoscope-assisted posterior quadrantectomy for epilepsy in any age group.

Implications:

• Endoscope-assisted surgery offers a less morbid alternative for epilepsy treatment.
• This approach may expand the applications of minimally invasive epilepsy surgery.
• Technical nuances and benefits of this approach warrant further investigation in select patients.