2017年11月
Preservation of Motor Function After Resection of Lower-Grade Glioma at the Precentral Gyrus and Prediction by Presurgical Functional Magnetic Resonance Imaging and Magnetoencephalography
WORLD NEUROSURGERY
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- 巻
- 107
- 号
- 開始ページ
- 1045.e5
- 終了ページ
- 1045.e8
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1016/j.wneu.2017.07.152
- 出版者・発行元
- ELSEVIER SCIENCE INC
BACKGROUND: Intra-axial brain tumors located at anatomically eloquent areas are challenging conditions. On one hand, it is often difficult to pursue maximum extent of resection of tumor in these locations. On the other hand, neuroplasticity occurs in some patients with low-grade glioma, and the primary neural functions are known to sometimes shift from conventional "eloquent cortices."
CASE DESCRIPTION: In a patient with a lower-grade glioma located at the precentral gyrus, shift of primary motor function from the precentral gyrus to the postcentral gyrus was detected on magnetoencephalography and functional magnetic resonance imaging. Aggressive removal of the pathologic precentral gyrus was accomplished via awake craniotomy without causing obvious motor function deficit.
CONCLUSIONS: This case highlights the importance of preoperative multimodal neurophysiologic imaging in patients with low-grade gliomas in eloquent areas.
CASE DESCRIPTION: In a patient with a lower-grade glioma located at the precentral gyrus, shift of primary motor function from the precentral gyrus to the postcentral gyrus was detected on magnetoencephalography and functional magnetic resonance imaging. Aggressive removal of the pathologic precentral gyrus was accomplished via awake craniotomy without causing obvious motor function deficit.
CONCLUSIONS: This case highlights the importance of preoperative multimodal neurophysiologic imaging in patients with low-grade gliomas in eloquent areas.
- リンク情報
- ID情報
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- DOI : 10.1016/j.wneu.2017.07.152
- ISSN : 1878-8750
- eISSN : 1878-8769
- PubMed ID : 28826712
- Web of Science ID : WOS:000415860500158