Gastroparesis after combined callosotomy and unilateral frontal lobectomy

Stephen J. Ryan; Frank Gilliam; Robert J. Baumann

doi:10.1016/0896-6974(94)90063-9

Gastroparesis after combined callosotomy and unilateral frontal lobectomy

Stephen J. Ryan, Frank Gilliam, Robert J. Baumann

Research output: Contribution to journal › Article › peer-review

Abstract

An 8-year-old boy with medically refractory seizures received a combined anterior corpus callosotomy and extensive right frontal cortical resection. Postoperatively, the patient developed severe, persistent gastroparesis without other apparent cause. A literature review revealed no similar cases. Human and animal studies suggest that the frontal lobe influences gastric motility via the hypothalamus. This experience indicates that removal of such frontal lobe influence or combined frontal lobectomy/callosotomy may precipitate gastroparesis. Surgery involving the insular cortex, orbitofrontal area, and premotor cortex may particularly place patients at risk for this complication.

Original language	English
Pages (from-to)	318-320
Number of pages	3
Journal	Journal of Epilepsy
Volume	7
Issue number	4
DOIs	https://doi.org/10.1016/0896-6974(94)90063-9
State	Published - 1994

Keywords

Callosotomy
Corpus collosum
Epilepsy surgery
Frontal lobectomy
Gastroparesis

ASJC Scopus subject areas

General Neuroscience
Clinical Neurology

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10.1016/0896-6974(94)90063-9

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title = "Gastroparesis after combined callosotomy and unilateral frontal lobectomy",

abstract = "An 8-year-old boy with medically refractory seizures received a combined anterior corpus callosotomy and extensive right frontal cortical resection. Postoperatively, the patient developed severe, persistent gastroparesis without other apparent cause. A literature review revealed no similar cases. Human and animal studies suggest that the frontal lobe influences gastric motility via the hypothalamus. This experience indicates that removal of such frontal lobe influence or combined frontal lobectomy/callosotomy may precipitate gastroparesis. Surgery involving the insular cortex, orbitofrontal area, and premotor cortex may particularly place patients at risk for this complication.",

keywords = "Callosotomy, Corpus collosum, Epilepsy surgery, Frontal lobectomy, Gastroparesis",

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language = "English",

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AU - Gilliam, Frank

AU - Baumann, Robert J.

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N2 - An 8-year-old boy with medically refractory seizures received a combined anterior corpus callosotomy and extensive right frontal cortical resection. Postoperatively, the patient developed severe, persistent gastroparesis without other apparent cause. A literature review revealed no similar cases. Human and animal studies suggest that the frontal lobe influences gastric motility via the hypothalamus. This experience indicates that removal of such frontal lobe influence or combined frontal lobectomy/callosotomy may precipitate gastroparesis. Surgery involving the insular cortex, orbitofrontal area, and premotor cortex may particularly place patients at risk for this complication.

AB - An 8-year-old boy with medically refractory seizures received a combined anterior corpus callosotomy and extensive right frontal cortical resection. Postoperatively, the patient developed severe, persistent gastroparesis without other apparent cause. A literature review revealed no similar cases. Human and animal studies suggest that the frontal lobe influences gastric motility via the hypothalamus. This experience indicates that removal of such frontal lobe influence or combined frontal lobectomy/callosotomy may precipitate gastroparesis. Surgery involving the insular cortex, orbitofrontal area, and premotor cortex may particularly place patients at risk for this complication.

KW - Callosotomy

KW - Corpus collosum

KW - Epilepsy surgery

KW - Frontal lobectomy

KW - Gastroparesis

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ER -

Gastroparesis after combined callosotomy and unilateral frontal lobectomy

Abstract

Keywords

ASJC Scopus subject areas

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