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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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Mini-Open Partial Callosotomy in Pediatric Patients.

Matthias Tomschik1,2, Johannes Herta1, Thomas Czech1

  • 1Department of Neurosurgery, Medical University of Vienna, Vienna, Austria.

Operative Neurosurgery (Hagerstown, Md.)
|June 2, 2026
PubMed
Summary
This summary is machine-generated.

This study introduces a mini-open microsurgical technique for partial corpus callosotomy in epilepsy patients. The safe and efficient procedure reduces craniotomy size and operating time, making epilepsy surgery more accessible.

Keywords:
Corpus callosotomyEpilepsy surgeryMinimally invasive neurosurgery

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Area of Science:

  • Neurosurgery
  • Epileptology

Background:

  • Corpus callosotomy is a standard treatment for drug-resistant epilepsy.
  • Minimally invasive techniques exist but are often resource-intensive.
  • A novel mini-open microsurgical approach is presented.

Purpose of the Study:

  • To describe and evaluate a mini-open microsurgical technique for partial corpus callosotomy.
  • To assess the safety, efficiency, and accessibility of this approach.

Main Methods:

  • A mini-open technique using a parasagittal incision and small craniotomy.
  • Retractorless interhemispheric dissection guided by neuronavigation.
  • Analysis of pre- and post-operative imaging to assess craniotomy size and disconnection.

Main Results:

  • 38 partial callosotomies were performed in 24 patients over 5 years.
  • Craniotomy size decreased over time with technique adoption.
  • Mean operating time was 99.6 minutes with no reported complications.

Conclusions:

  • Mini-open partial callosotomy is a safe and effective epilepsy surgery.
  • The technique minimizes surgical morbidity and can be implemented in standard neurosurgical units.
  • This approach enhances epilepsy surgery accessibility in resource-limited settings.