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Introduction: Diffuse gliomas are brain neoplasms with an infiltrative growing pattern to cortical and subcortical structures, frequently adjacent to eloquent areas; direct cortical and subcortical stimulation in awake craniotomy is a useful tool to achieve a gross total resection with the least neurological deficit.
Presentation of cases: A 24 years old male presented with tonic-clonic seizures. The magnetic resonance imaging MRI showed a left parietal glioma. Awake craniotomy was performed using neuronavigation system and brain mapping with cortical and subcortical stimulation. Functional areas were found at the rostral margin of the tumor; however, the rest of the tumor was almost totally resected. Patient was discharged without neurological deficit. A 29 years old male presented in two occasions generalized tonic-clonic seizures, with right hemiparesis.
The MRI showed a left parietal glioma. Awake craniotomy was performed using neuronavigation system and brain mapping with cortical and subcortical stimulation, achieving a gross total resection. Conclusions: Awake craniotomy with brain mapping by cortical and subcortical stimulation and neuronavigation, are the best assets to treat diffuse gliomas and achieve a gross total resection, ensuring the major disease-free interval and preserving the function of eloquent areas.
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Full-text links Cite Favorites. Abstract in English , Spanish. Similar articles [Awake craniotomy and intraoperative language cortical mapping for eloquent cerebral glioma resection: preliminary clinical practice in 3.
Lu JF, et al. Zhonghua Wai Ke Za Zhi. PMID: Chinese. Alimohamadi M, et al. World Neurosurg. Epub May 2. PMID: Takebayashi K, et al. No Shinkei Geka. PMID: Japanese. Technical principles in glioma surgery and preoperative considerations.
Krivosheya D, et al. J Neurooncol. Epub Jun PMID: Review. Awake surgery for hemispheric low-grade gliomas: oncological, functional and methodological differences between pediatric and adult populations. Trevisi G, et al. Childs Nerv Syst. Epub Sep Show more similar articles See all similar articles. Publication types Case Reports Actions. Review Actions. MeSH terms Adult Actions. Disease-Free Survival Actions. Humans Actions.
Magnetic Resonance Imaging Actions. Male Actions. Young Adult Actions. Full-text links [x] Permanyer Publications. Copy Download.
Translation of "del mapeo cerebral" in English