Using a Robotic-Assisted Approach for Stereotactic Laser Ablation Corpus Callosotomy: A Technical Report

Stereotact Funct Neurosurg. 2022;100(1):61-66. doi: 10.1159/000518109. Epub 2021 Aug 17.

Abstract

Background: Corpus callosotomy for medically intractable epilepsy is an effective ablative procedure traditionally achieved using either standard open craniotomy or with less-invasive approaches. Advances in robotic-assisted stereotactic guidance for neurosurgery can be applied for LITT for corpus callosotomy.

Clinical presentations: Two patients were included in this study. One was a 25-year-old female patient with extensive bi-hemispheric malformations of cortical development and medically refractory epilepsy, and the other was an 18-year-old male with medically refractory epilepsy and atonic seizures, who underwent a complete corpus callosotomy using robotic-assisted stereotactic guidance for LITT.

Results: Both patients underwent successful intended corpus callosotomy with volumetric analysis demonstrating a length disconnection of 74% and a volume disconnection of 55% for patient 1 and a length disconnection of 83% and a volume disconnection of 33% for patient 2. Postoperatively, both patients had clinical reductions in seizure.

Conclusion: Our experience demonstrates that robotic guidance systems can safely and effectively be adapted for minimally invasive LITT corpus callosotomy.

Keywords: Corpus callosotomy; Laser ablation; Robotic-assisted corpus callosotomy.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Corpus Callosum / surgery
  • Drug Resistant Epilepsy* / surgery
  • Female
  • Humans
  • Laser Therapy* / methods
  • Male
  • Psychosurgery* / methods
  • Robotic Surgical Procedures*
  • Treatment Outcome