Mutism in 36 patients who underwent callosotomy for drug-resistant epilepsy

J Neurosurg Sci. 1997 Mar;41(1):93-6.

Abstract

Thirty-six drug-resistant epileptic patients submitted to callosotomy were studied. Anterior callosotomy was performed in 27 patients, total two-stage callosotomy was performed in 8 patients and 1 patient had only posterior callosotomy. We found mutism in 10 patients (2 after complete callosotomy and 8 after anterior section). The patients did not speak, but the comprehension was present: they were able to carry out orders and to write. Their attitude to the environment was characterized by complete indifference. The mutism was always transient, lasting from 4 to 25 days (mean 7 days). Regression of mutism was always complete. We think that this complication should be chiefly attributed mainly to surgical manipulation, even if it is impossible to completely exclude a multi-factorial etiology.

MeSH terms

  • Adolescent
  • Adult
  • Corpus Callosum / surgery*
  • Drug Resistance
  • Epilepsy / complications
  • Epilepsy / surgery*
  • Female
  • Humans
  • Male
  • Mutism / etiology*
  • Prognosis