Two-staged Resection of a Left Frontal Astrocytoma Involving the Operculum and Insula Using Intraoperative Neurophysiological Monitoring : Case Report
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概要
- 論文の詳細を見る
優位半球の弁蓋部から島にかけての神経膠腫の手術は運動言語機能を障害する大きな危険性を有する。今回我々は、29歳男性の優位半球(左)弁蓋部から島に浸潤する悪性神経膠腫に対して、企図的2期的手術を行い機能温存下に腫瘍の肉眼的全摘手術を行ったので報告する。初回全身麻酔下に大脳半球裂とシルビウス裂を開放し、主要血管を全て確認した後、前頭葉摘出術を行った。18日後、propofolを用いた覚醒麻酔下に脳表電気刺激により脳機能地図を作成した。この結果、機能的運動言語野が本来の解剖学的位置よりも後上方に偏位し腫瘍摘出範囲からはずれていることを確認後、覚醒レベルを維持しながら深部白質に浸潤する腫瘍を摘出した。
- 1998-08-15
著者
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隈部 俊宏
東北大学脳神経外科
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SONODA Yukihiko
Department of Neurosurgery, Tohoku University Graduate School of Medicine
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SUZUKI KYOKO
Department of Pediatrics, Fujita Health University School of Medicine
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YOSHIMOTO Takashi
Department of Legal Medicine, Nagoya University School of Medicine
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Sato Kiyotaka
Department of Internal Medicine, Kitasato University School of Medicine
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Suzuki Kyoko
Department Of Applied And Environmental Chemistry Kitami Institute Of Technology
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Sato Kiyotaka
Department Of Internal Medicine School Of Medicine Kitasato University
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NAKASATO Nobukazu
Department of Neurosurgery, Tohoku University School of Medicine
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KAWAGISHI Jun
Department of Neurosurgery, Tohoku University School of Medicine
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Yoshimoto Takashi
Department Of Chemical Engineering Graduate School Of Engineering Kyushu University
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Sonoda Yukihiko
Department Of Neurosurgery Tohoku University Graduate School Of Medicine
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Sonoda Yukihiko
Department Of Neurosurgery Tohoku University School Of Medicine
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Kawagishi Jun
Department Of Neurosurgery Tohoku University School Of Medicine
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隈部 俊宏
東北大学医学部脳神経外科
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Nakasato Nobukazu
Department Of Neurosurgery And Tohoku Ryogo Center Kohnan Hospital
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Suzuki Kyoko
Department Of Section Of Neuropsychology Division Of Disability Science Tohoku University Of School
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Nakasato Nobukazu
Department Of Epileptology Tohoku University Graduate School Of Medicine
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Sato Kiyotaka
Department Of Neuroanesthesiology Kohnan Hospital
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Sato Kiyotaka
Department of Food Technology and Chemistry, Faculty of Fisheries and Animal Husbandry, Hiroshima University
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