Zixiao Yang1, Jianping Song2, Wei Zhu1. 1. Department of Neurosurgery, Huashan Hospital, Shanghai Medical Collage, Fudan University, No.12 Wulumuqi Zhong Road, Shanghai, 200040, China. 2. Department of Neurosurgery, Huashan Hospital, Shanghai Medical Collage, Fudan University, No.12 Wulumuqi Zhong Road, Shanghai, 200040, China. neurosurgerysong@foxmail.com.
Abstract
BACKGROUND: If an awake surgery is somehow not available for gliomas at the language area, understanding the anatomy and well-designed surgical strategy are important. METHOD: We present a case with left hemispheric multifocal high-grade gliomas located deeply at the left temporal pole, the Wernicke's area, and mesial temporal region. Because the patient could not endure the awake surgery and obtain practicable functional magnetic resonance imaging (MRI) for eloquent cortex evaluation, we removed the lesions following the anatomical resection strategy guided by diffusion tensor imaging (DTI). CONCLUSION: This case demonstrates the value of DTI and the importance of anatomical resection strategies in glioma surgeries.
BACKGROUND: If an awake surgery is somehow not available for gliomas at the language area, understanding the anatomy and well-designed surgical strategy are important. METHOD: We present a case with left hemispheric multifocal high-grade gliomas located deeply at the left temporal pole, the Wernicke's area, and mesial temporal region. Because the patient could not endure the awake surgery and obtain practicable functional magnetic resonance imaging (MRI) for eloquent cortex evaluation, we removed the lesions following the anatomical resection strategy guided by diffusion tensor imaging (DTI). CONCLUSION: This case demonstrates the value of DTI and the importance of anatomical resection strategies in glioma surgeries.
Authors: Lina Marenco-Hillembrand; Olindi Wijesekera; Paola Suarez-Meade; David Mampre; Christina Jackson; Jennifer Peterson; Daniel Trifiletti; Julie Hammack; Kyle Ortiz; Elizabeth Lesser; Matthew Spiegel; Calder Prevatt; Maria Hawayek; Alfredo Quinones-Hinojosa; Kaisorn L Chaichana Journal: J Neurooncol Date: 2020-03-09 Impact factor: 4.130
Authors: Michael Weller; Martin van den Bent; Kirsten Hopkins; Jörg C Tonn; Roger Stupp; Andrea Falini; Elizabeth Cohen-Jonathan-Moyal; Didier Frappaz; Roger Henriksson; Carmen Balana; Olivier Chinot; Zvi Ram; Guido Reifenberger; Riccardo Soffietti; Wolfgang Wick Journal: Lancet Oncol Date: 2014-08 Impact factor: 41.316