Skip to main content
SpringerLink
Log in
Book cover

Operative Techniques in Epilepsy pp 201–226Cite as

Rolandic Surgery

  • Chapter
  • First Online:

  • 1638 Accesses

Abstract

Chapter 8 deals with the Rolandic cortex, which is considered as a separate physiological cortical region, as opposed to parts of the frontal and parietal lobes. It discusses the different strategies associated with the surgical management of epileptic foci in and about the Rolandic cortex. These include peri-Rolandic resection, inferior and superior Rolandic corticectomies, and multiple subpial transections (MSTs). It emphasizes and notes the importance of the use of local anesthesia in any surgery of the Rolandic cortex and finishes with a consideration of the safe limits of resection and some measurements of the eloquent frontal cortex.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Brodmann K. Beiträge zur histologischen Lokalisation der Grosshirnrinde. I. Mitt, Der Rolandica. J Psychol Neurol. 1903;2:79–107.

    Google Scholar 

  • Burns BD. Some properties of the cat’s isolated cerebral cortex. J Physiol. 1949;110:9P (abstract).

    Google Scholar 

  • Burns BD. Some properties of the cat’s isolated cerebral cortex. J Physiol. 1950;111:50–68.

    CAS  PubMed Central  PubMed  Google Scholar 

  • Burns BD. Some properties of isolated cerebral cortex in the unanaesthetized cat. J Physiol. 1951;112:156–75.

    CAS  PubMed Central  PubMed  Google Scholar 

  • Colonnier ML. The structural design of the neocortex. In: Eccles JC, editor. Brain and conscious experience. New York: Springer; 1966. pp. 1–23.

    Google Scholar 

  • Garey LJ. Description of individual brain maps. In: Garey JL, editor. Brodmann’s ‘Localization in the Cerebral Cortex’. London: Smith-Gordon and Company; 1994. pp. 107–74.

    Google Scholar 

  • Girvin JP. Chapter 73. Complications of epilepsy surgery. In: Luders HO, editor. Epilepsy surgery. New York: Raven; 1991. pp. 653–60.

    Google Scholar 

  • Lehman R, Andermann F, Olivier A, Tandon PN, Quesney LF, Rasmussen TB. Seizures with onset in the sensorimotor face area: clinical patterns and results of surgical treatment in 20 patients. Epilepsia. 1994;35:1117–24.

    Article  CAS  PubMed  Google Scholar 

  • Morrell F. Multiple subpial transection for the surgical treatment of focal epilepsy. EEG Clin Neurophysiol. 1973;34:714 [abstract].

    Google Scholar 

  • Morrell F, Whisler WW, Bleck TP. Multiple subpial transection: a new approach to the surgical treatment of focal epilepsy. J Neurosurg. 1989;70:231–9.

    Article  CAS  PubMed  Google Scholar 

  • Penfield W. The cerebral cortex in man. I. The cerebral cortex and consciousness. Arch Neurol Psychiatr. 1938;40:417–42.

    Article  Google Scholar 

  • Penfield W, Jasper H. Epilepsy and the functional anatomy of the human brain. Boston: Little, Brown and Co; 1954. p. 896.

    Google Scholar 

  • Penfield W, Rasmussen T. The cerebral cortex of man: a clinical study of localization of function. New York: Hafner Publishing Company; 1968. p. 248.

    Google Scholar 

  • Penfield W, Rasmussen T. A clinical study of localization of function. In: Penfield W, Rasmussen T, eds. The cerebral cortex of man. New York: MacMillan; 1950. pp. 184–6.

    Google Scholar 

  • Penfield W, Roberts L. Speech and brain-mechanisms. Princeton: Princeton University Press; 1959. p. 286.

    Google Scholar 

  • Rasmussen T. Cortical resection in the treatment of focal epilepsy. In: Purpura DP, Penry JK, Walter RD, editors. Advances in neurology, vol. 8. New York: Raven; 1975a. pp. 139–54.

    Google Scholar 

  • Rasmussen T. Surgery for epilepsy arising in regions other than the temporal and frontal lobes. In: Purpura DP, Penry JK, Walter RD, editors. Advances in neurology, vol. 8. New York: Raven; 1975b. p. 206–26.

    Google Scholar 

  • Rasmussen T. Commentary: Extratemporal cortical excisions and hemispherectomy. In: Engel J, editor. Surgical Treatment of the Epilepsies. New York: Raven Press; 1987, pp. 417–24.

    Google Scholar 

  • Whisler WW. Multiple subpial transection. Tech Neurosurg. 1995;1:40–4.

    Google Scholar 

  • Wyler AR, Hermann BP, Somes G. Extent of medial temporal resection on outcome from anterior temporal lobectomy: a randomized prospective study. Neurosurgery. 1995;37:982–91.

    Google Scholar 

  • Wyler AR. Multiple subpial transections. Chapter 88. in: Lüders HO, editor. Epilepsy Surgery, 2nd edition. New York: Raven Press; 2001. pp. 807–11.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Clinical Neurological Sciences, Western University, London, ON, Canada

    John P. Girvin

Authors
  1. John P. Girvin
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Girvin, J.P. (2015). Rolandic Surgery. In: Operative Techniques in Epilepsy. Springer, Cham. https://doi.org/10.1007/978-3-319-10921-3_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-10921-3_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-10920-6

  • Online ISBN: 978-3-319-10921-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation