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September 1980

Normal Interhemispheric Visual Transfer With Incomplete Section of the Splenium

Author Affiliations

From the Section of Neurological Surgery, Department of Neurosciences, Medical College of Ohio at Toledo (Dr Greenblatt); the Section of Neurosurgery (Dr Saunders) and the Department of Psychiatry (Dr Culver), Dartmouth-Hitchcock Medical Center, Hanover, NH; and the Section of Neurosurgery Dean Clinic, Madison, Wis (Dr Bogdanowicz).

Arch Neurol. 1980;37(9):567-571. doi:10.1001/archneur.1980.00500580063010

• During the removal of a ruptured arteriovenous malformation, a young man underwent partial sectioning of the splenium of the corpus callosum. Postoperative testing showed no deficit of interhemispheric visual or auditory transfer. To understand the extent of the splenial section, we cut ten normal brains in the sagittal plane and analyzed the shape of the splenium. It may be markedly curved or bulbous. Our findings lead us to conclude that a small band of ventral splenial fibers may be adequate to allow a patient to perform normally on tachistoscopic testing. Unless there is postmortem proof of complete splenial section, it may not be justified to invoke nonsplenial mechanisms to explain preservation of interhemispheric visual transfer in human surgical cases.

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