Related Experiment Video
Updated: Jun 9, 2025
Author Spotlight: Studying Clinical Characters and Epilepsy Outcomes After Frontal Disconnection in Patients with MOGHE
Published on: August 16, 2024
Frontal lobe disconnection: How I do it
Vich Yindeedej1,2,3, Takehiro Uda4,5, Noritsugu Kunihiro2
1Department of Neurosurgery, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
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.
