B5 SpHtDecisions
GEORGE \VOLFORD) N,IICII{EL B. NIILLER, AND \IICFL.\EL S. GAZZAT\IGA
.\B: rR.\, r ::ril-irlain patients provide a lascinating look at some The split-brainoperation ,,;' tir, r..,:,. .irrr,trncling consciousness.lVe bricfl1' rL-viewpirst lin,i:ir..l-.,:r,: r:r..rghrsgained lrom studying thcsc patients. l\:€ Split-brain surgery is a treatment for certain tvpes o1' ill:( i.:. ::. r-.,,r,'cictail some of thc more irrteresting(ar us) findines intractable epilepsri Seizures in epilepsv are causecl bl.an .irr., 'lr.' ..,': cclition of this volurne. \\r conclude bl ruqgestinge abnormal electrical discharge that leads to a reverberating rrrr'r:ifltcL rer-sion of signal cletectiontheorv that mav shed some ii{l;r ,,rr aspcctsof consciousnessir thcse paticnts. or rhvthmic dischzrrge.In some individuals, the rhrthmic dis- charges recruit tissr,rein both l-remispheres.The split surgerv ( ' .,lri//d-rJin tlrcsplit brain involves severing all or part of the corpus callosum. the m:rjor fiber tract connectine the tr,r'or:erebral hen-risphercs, ,irr n:rtient. nll- I .._.-^ r*,-_^--_ _--e.f a Llnlqlle perspecuve on some and on occasion other {brcbrain commisures as rvell. The ': .- l{ conscious experienc:e.and pcrhaps on the nature corpus callosum is the largcst fiber tract in the brain. f'he ri.ciousness itself. Rogel Sperr',' once relerred to the human corpus callosum contains about 200 million axoris. "tu,o : ,\ separate realms o1' conscious a$'areness;t\'vo originating lrom layer 2/3 pyranriclal ncurons (r\boitiz et al.. :r:.- -. perceiving, thinkine arrd rernernbcring systtms." 1992). The first reported usc of' splittins the corpus cailo- 'i-l;' : nr-r'i'carh'ft'ar.sthrrt scvcringthe callosr"rmrvas:r bad surn to control epilepsv '"vasbv \hn !\'ascncn ancl Herren i