Glioma surgery based on anatomical structure of the white matter

Takashi Maruyama*, Yoshihiro Muragaki, Masayuki Nitta, Taichi Saito, Manabu Tamura, Hiroshi Iseki, Yoshikazu Okada

*この研究の対応する著者

    研究成果: Article査読

    抄録

    The primary aim of glioma surgery is to achieve a balance between maximum tumor removal and minimal functional morbidity. The advent of awake surgery has greatly increased the number of patients with tumors in or around the eloquent language areas undergoing extensive removal. Preoperative anatomical evaluation modalities, such as diffusion tensor imaging (DTI) tractography or color mapping, are used to visualize the subcortical neuronal network in the white matter. This structural information can help predict further tumor extension and neuronal damage adjacent to the surrounding area of tumor. To achieve successful functional evaluation and maximum tumor removal without surgical complication, we must be well aware of the symptomatic evaluation following electrical stimulation. In the white matter, identifying the short association fibers and the long association fibers involving the association with language function are the key for successful resection. In our report, an overview of the anatomical structures and the clinical symptoms related to the language area encounterd in glioma removal surgery are reported.

    本文言語English
    ページ(範囲)76-84
    ページ数9
    ジャーナルJapanese Journal of Neurosurgery
    24
    2
    DOI
    出版ステータスPublished - 2015

    ASJC Scopus subject areas

    • 外科
    • 臨床神経学

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