Disconnection syndrome

Disconnection syndrome is a neurological disorder caused by interruption or functional separation of information transmission between different cortical or subcortical brain regions[^1]. Classically, this involves the connection between the two cerebral hemispheres, particularly via the Corpus callosum. The syndrome is characterized less by primary deficits of individual brain regions than by the loss of integrated processing across distributed neural networks.

Etiology

Disconnection syndromes may have various causes:

  • Surgical: Corpus callosotomy for drug-resistant epilepsy 

  • Vascular: Infarcts in the territory of the A. cerebri anterior 

  • Traumatic: Diffuse axonal injury 

  • Neoplastic: Tumor infiltration or compression 

  • Inflammatory/degenerative: Multiple sclerosis, Marchiafava–Bignami disease 

The deliberate induction of a disconnection syndrome, for example through Corpus callosotomy, is, by contrast, an established neurosurgical procedure for severe epilepsy and illustrates the functional significance of interhemispheric networks.

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