TABLE 2.
Summary | Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | Case 6 | Case 7 | Case 8 | Case 9 | Case 10 | Case 11 | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
MRgLITT procedure | Complete CC | Posterior 1/3 CC | Ant 2/3 CC | Complete CC | Complete CC | Complete CC | Ant 2/3 CC | Complete CC | Genu & splenium | Posterior 1/3 CC | Residual splenium w/ RNS placement | |
Prior surgery | Microsurgical ant 2/3 CC; VNS placement | Microsurgical CC; VNS placement | Microsurgical ant 2/3 CC; VNS placement | (Case 10) | ||||||||
VNS, n (%) | 6 (75) | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | ||
LITT trajectories, M (SD) | 3 | 3 | 2 | 2 | 3 | 4 | 3 | 3 | 2 | 4 | 2 | 1 |
Laser on time (min), M (SD) | 12.4 ± 7 | 10.9 | 5.6 | 20.8 | 8.3 | 24.4 | 13.6 | 10.4 | 3.72 | 14.95 | 4.8 | 2.57 |
Surgery length (h), M (SD) | 5.8 ± 1.7 | 5.6 | 2.9 | 6.9 | 6.8 | 8.1 | 3.9 | 6.4 | 7.13 | 9.03 | 5.8 | 7.18 |
Blood loss (mL), M | 6 ± 5 | 5 | 5 | 10 | 10 | 15 | 5 | 0 | 0 | 5 | 0 | 50 |
LOS ICU (d), median (IQR) | 1 (1‐2) | 2 | 1 | 2 | 1 | 5 | 2 | 1 | 1 | 1 | 1 | 3 |
LOS floor (d), median (IQR) | 1 (0‐1) | 1 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 0 |
Total LOS (d), median (IQR) | 2 (1‐3) | 3 | 1 | 3 | 2 | 6 | 3 | 1 | 1 | 2 | 2 | 3 |
Discharge home, n (%) | 6 (82) | Rehab | Home | Home | Home | Rehab | Home | Home | Home | Home | Home | Home |
Postoperative transient functional change, n (%) | 4 (36) | Left‐sided weakness; back to baseline after rehab | None | None | None | Worsened truncal ataxia; back to baseline after rehab | Weakness, difficulty ambulating; baseline at discharge | Non‐verbal 6 d post‐op, self‐resolved | None | None | None | None |
Permanent neurologic deficit | 0 | None | None | None | None | None | None | None | None | None | None | None |
Abbreviations: CC, corpus callosotomy; VNS, vagal nerve stimulatory; RNS, responsive nerve stimulator.