Revista de neurologia · 2013
[Neurophysiological assisted transsulcal approach to a high grade glioma without affect neither motor nor somatosensory function].
Клинический случайАннотация на английскомСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pastor Jesús, Pulido-Rivas Paloma, Sola Rafael G
Аннотация
INTRODUCTION: Intraoperative mapping and neuronavigation permitted a safe approach through the rolandic sulcus, minimizing the impact onto the motor or somatosensory functions. Fluorescence-guide resection defines a limit that allows a total resection without exceed the border of the tumor.
CASE REPORT: A 39-year-old man who was operated by a tumor placed into the rolandic area. With the patient anesthetized (propofol+remyfentanil), we performed cortical mapping, neuronavigation and fluorescence-guide resection with 5-aminolevulinic acid. Post-resection neurophysiologic assessment showed a minor and highly localized effect onto the somato-sensory system.
CONCLUSION: Rolandic area surgery can be safely performed in anesthetized patients when extensive neurophysiological, anatomical and biological assessments are performed.
CASE REPORT: A 39-year-old man who was operated by a tumor placed into the rolandic area. With the patient anesthetized (propofol+remyfentanil), we performed cortical mapping, neuronavigation and fluorescence-guide resection with 5-aminolevulinic acid. Post-resection neurophysiologic assessment showed a minor and highly localized effect onto the somato-sensory system.
CONCLUSION: Rolandic area surgery can be safely performed in anesthetized patients when extensive neurophysiological, anatomical and biological assessments are performed.