[Tumour of the corpus callosum: the association between interhemispheric disconnection and an anterograde amnesia syndrome].
BACKGROUND
Sperry, or interhemispheric disconnection, syndrome was reported in patients who had undergone surgical section of the corpus callosum carried out in an attempt to control medication-resistant epilepsy. It has occasionally been linked to tumours of the corpus callosum and, although even more rarely, it has also been associated to an amnesic syndrome. In this paper we report the anatomical and neuropsychological findings in a patient with interhemispheric disconnection syndrome associated to a hippocampal-type amnesic syndrome, caused by a tumour in the splenius of the corpus callosum that extended into the fornix.


METHODS
A 52-year-old white male who visited because of loss of memory; on admission to hospital the physical examination revealed a certain degree of asomatognosia with regard to the left-hand side of the body. An axial tomography brain scan showed a dense central lesion in the brain that extended laterally and occluded the body of both lateral ventricles. A biopsy study revealed an undifferentiated astrocytoma that affected the corpus callosum and the fornix.


CONCLUSIONS
Sperry, or interhemispheric disconnection, syndrome produced by a tumour in the splenius of the corpus callosum is very likely to course with an amnesic syndrome due to disconnection caused by destruction of the fornix. This association, which characterised our patient's clinical picture, has only previously been described in three cases.
Bustamante
J
J
Universidad de Antioquia, Facultad de Medicina, Grupo de Neurociencias, Medellin, Colombia.
Lopera
F
F
D020324:Amnesia, Anterograde / Q000209:etiology / Q000503:physiopathology; D001254:Astrocytoma / Q000150:complications / Q000473:pathology*; D001932:Brain Neoplasms / Q000150:complications / Q000473:pathology*; D002540:Cerebral Cortex / Q000033:anatomy & histology / Q000473:pathology*; D003337:Corpus Callosum / Q000033:anatomy & histology / Q000473:pathology* / Q000502:physiology; D017809:Fatal Outcome; D020712:Fornix, Brain / Q000473:pathology*; D007839:Functional Laterality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009434:Neural Pathways / Q000502:physiology; D009483:Neuropsychological Tests; D013577:Syndrome