The case is reported of a patient in whom the middle sagittal third of the corpus callosum had been removed for the treatment of an underlying angioma. The special advantages of the case are that the patient is a young, relatively healthy person of normal IQ. The angioma had not interfered with interhemispheric transmission and the patient was described as neurologically normal before operation. After operation left-side neglect and extensive somatic disconnection were seen. A change in the balance between the hemispheres for handedness and ear superiority in dichotic listening was observed. The patient developed an aphasia after operation characterized by a simplification of language, the inavailability of complex ideas and emotional communication. He showed a disorder of memory--'autopragmatic amnesia'--in whice. The patient showed disorders of visuo-spatial transfer. These symptoms are thought to typify a syndrome of the centre trunk region of the corpus callosum, to follow as a direct function of the operation performed upon the callosum, and to illustrate the function of this region of the brain.
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http://dx.doi.org/10.1093/brain/100.3.543 | DOI Listing |
Handb Clin Neurol
March 2025
Department of Psychological and Brain Sciences, University of California, Santa Barbara, CA, United States. Electronic address:
For more than 80 years, the clinical perspective on the behavioral outcome of split-brain surgery suggested that it "may be carried out without any untoward effect on the patient," despite some initial and transient disconnection effects. The last 60 years of experimental studies, however, have shown quite the opposite. Using lateralized testing procedures, split-brain patients have demonstrated profound disconnection effects that can last a lifetime.
View Article and Find Full Text PDFHandb Clin Neurol
March 2025
Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy. Electronic address:
The chapter explores the difference between the cerebral hemispheres in the three categories of attention described in the fundamental classification of Posner and Petersen: Alerting, Orienting, and Executive Functions. The first section is concerned with the brain localization of visuospatial attention as studied in brain-damaged patients, mainly hemineglect and callosum-sectioned patients. Other important results have been provided more recently by means of brain imaging studies of cortical and subcortical attention networks.
View Article and Find Full Text PDFPediatr Int
March 2025
Department of Pediatrics, The Second Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, Hebei, China.
Background: Comprehensive documentation on consecutive years of mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) in children is lacking. This study aims to provide an in-depth analysis of the clinical profiles of MERS in children across different age groups, focusing on pathogens and recovery time.
Methods: In this retrospective study, 43 patients diagnosed with MERS were enrolled between December 2017 and November 2021.
Neuroradiology
March 2025
Federal State Autonomous Institution "N. N. Burdenko National Medical Research Center of Neurosurgery" of the Ministry of Health of the Russian Federation, Moscow, Russian Federation.
Objective: To analyze the correlations between the consciousness state scores and the fractional anisotropy (FA) values in various segments of the Corpus Callosum (CC) and Inferior Fronto-Occipital Fasciculus (IFOF) at different stages of recovery after traumatic brain injury (TBI).
Methods: Diffusion tensor imaging (DTI) was performed in 43 TBI patients and 22 healthy volunteers. The consciousness levels were estimated with the CRS-R scale.
Front Physiol
February 2025
Department of Biomedical Sciences, University of Sassari, Sassari, Italy.
Introduction: Cross-education is an established yet not fully understood phenomenon involving interhemispheric processes within the corpus callosum (CC) that result in strength gains in the untraining limb following training of the contralateral homologous muscles. There is a substantial lack of cross-education studies employing lesional models. This study employed the model of multiple sclerosis, a condition typically featuring demyelinating callosal lesions, to pinpoint CC subregions that mediate cross-education, potentially fostering the mechanistic understanding of the interlimb transfer.
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