Monday, March 19, 2012

corpus callosotomy

In June 1979, in a procedure that lasted nearly 10 hours, doctors created a firebreak to contain Vicki's seizures by slicing through her corpus callosum, the bundle of neuronal fibres connecting the two sides of her brain. This drastic procedure, called a corpus callosotomy, disconnects the two sides of the neocortex, the home of language, conscious thought and movement control. Vicki's supermarket predicament was the consequence of a brain that behaved in some ways as if it were two separate minds.

In one crucial way, however, Vicki was better than her pre-surgery self. She was no longer racked by epileptic seizures that were so severe they had made her life close to unbearable.

The idea of dichotomous consciousness captivated the public, and was greatly exaggerated in the notion of the 'creative right brain'. But further testing with split-brain patients gave a more-nuanced picture. The brain isn't like a computer, with specific sections of hardware charged with specific tasks. It's more like a network of computers connected by very big, busy broadband cables. The connectivity between active brain regions is turning out to be just as important, if not more so, than the operation of the distinct parts.

Severing the corpus callosum was first used as a treatment for severe epilepsy in the 1940s, on a group of 26 people in Rochester, New York. The aim was to limit the electrical storm of the seizure to one side of the brain. At first, it didn't seem to work. But in 1962, one patient showed significant improvement. Although the procedure never became a favoured treatment strategy — it's invasive, risky, and drugs can ease symptoms in many people — in the decades since it nevertheless became a technique of last resort for treating intractable epilepsy.

http://www.nature.com/news/the-split-brain-a-tale-of-two-halves-1.10213

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