書誌事項
- タイトル別名
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- The Basics of Glioma Surgery
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Safe and total glioma removal without loss of neurological function is still a challenge. Basic surgical strategies need to be based on a deep and precise knowledge of brain anatomy. Routine preoperative evaluations include contrast-enhanced MRI, 3D-CT angiography, and PET (FDG and methionine) followed by creation of fusion images using a neuronavigation system. Diffuse tensor image-based pyramidal tract tractography is useful in surgeries for tumor removal near the tract. Intraoperatively, in combination with neuronavigation, transcortical SEP is used to detect the central sulcus, and MEPs are monitored by stimulation on the precentral gyrus. In addition, direct bipolar stimulation in the white matter near the pyramidal tract is more reliable than transcortical derived MEPs. In this article, we illustrate two representative glioma cases : a glioma adjacent to the primary motor area and a glioma in the hippocampus. Intraoperative MRI is a powerful tool to update real-time anatomy and detect residual tumors especially when the navigation based on preoperative images becomes less useful due to brain shift.
収録刊行物
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- Japanese Journal of Neurosurgery
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Japanese Journal of Neurosurgery 21 (12), 937-942, 2012
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詳細情報 詳細情報について
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- CRID
- 1390282679382829184
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- NII論文ID
- 10031131663
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- NII書誌ID
- AN10380506
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- ISSN
- 21873100
- 0917950X
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可