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Concept
Split-brain
Summary
Split-brain or callosal syndrome is a type of disconnection syndrome when the corpus callosum connecting the two hemispheres of the brain is severed to some degree. It is an association of symptoms produced by disruption of, or interference with, the connection between the hemispheres of the brain. The surgical operation to produce this condition (corpus callosotomy) involves transection of the corpus callosum, and is usually a last resort to treat refractory epilepsy. Initially, partial callosotomies are performed; if this operation does not succeed, a complete callosotomy is performed to mitigate the risk of accidental physical injury by reducing the severity and violence of epileptic seizures. Before using callosotomies, epilepsy is instead treated through pharmaceutical means. After surgery, neuropsychological assessments are often performed.
After the right and left brain are separated, each hemisphere will have its own separate perception, concepts, and impulses to act. Having two "brains" in one body can create some interesting dilemmas. When one split-brain patient dressed himself, he sometimes pulled his pants up with one hand (that side of his brain wanted to get dressed) and down with the other (this side did not). He also reported to have grabbed his wife with his left hand and shaken her violently, at which point his right hand came to her aid and grabbed the aggressive left hand. However, such conflicts are very rare. If a conflict arises, one hemisphere usually overrides the other.
When split-brain patients are shown an image only in the left half of each eye's visual field, they cannot vocally name what they have seen. This is because the image seen in the left visual field is sent only to the right side of the brain (see optic tract), and most people's speech-control center is on the left side of the brain. Communication between the two sides is inhibited, so the patient cannot say out loud the name of that which the right side of the brain is seeing.
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