Awake Surgery for Glioma Resection in Eloquent Areas : Zurich's Experience and Review
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概要
- 論文の詳細を見る
Awake surgery was performed in a series of 21 patients with gliomas in eloquent areas with the use of intraoperative electrical mapping. Gross total removal was performed in 18 patients. There was no operative mortality. Postoperative findings included no change in symptoms and signs in 10 patients, improvement of the preoperative deficit in 11 patients. Four patients had improved Karnofsky performance status (KPS) scores after surgery, 17 patients were stable, and no patient had lower KPS score. Extensive radical resection of gliomas prolongs the overall survival and improves the patient's quality of life. However, surgical resection of gliomas located within the sensorimotor or language areas remains a neurosurgical challenge in reducing eloquent neurological sequelae. Awake surgery with intraoperative functional mapping is a safe approach to maximize the extent of tumor removal and to minimize the resultant neurological deficits in the treatment of glioma involving the eloquent cortex.
- 日本脳神経外科学会の論文
- 2005-10-15
著者
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YONEKAWA Yasuhiro
Department of Neurosurgery, Kyoto University Medical School
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OTANI Naoki
Department of Neurosurgery, National Defense Medical College
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Otani Naoki
Departments Of Neurosurgery Zurich University Hospital:(present Address)department Of Neurosurgery N
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Wieser Heinz
Departments Of Neurology Zurich University Hospital
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Wieser Heinz
Department Of Neurology University Hospital Zurich
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BJELJAC Miroslava
Departments of Neurosurgery, Zurich University Hospital
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MUROI Carl
Departments of Neurosurgery, Zurich University Hospital
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WENIGER Dorothea
Departments of Neurology, Zurich University Hospital
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KHAN Nadia
Departments of Neurosurgery, Zurich University Hospital
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CURCIC Marijan
Departments of Anesthesiology, Zurich University Hospital
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Curcic Marijan
Departments Of Anesthesiology Zurich University Hospital
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Bjeljac Miroslava
Departments Of Neurosurgery Zurich University Hospital
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Yonekawa Yasuhiro
Departments Of Neurosurgery Zurich University Hospital
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Muroi Carl
Departments Of Neurosurgery Zurich University Hospital
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Khan Nadia
Departments Of Neurosurgery Zurich University Hospital
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Yonekawa Yasuhiro
Department Of Neurosurgery Kyoto University Medical School
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Otani Naoki
Department Of Neurosurgery National Defense Medical College
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Weniger Dorothea
Departments Of Neurology Zurich University Hospital
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Khan Nadia
Department Of Neurosurgery And Stanford Stroke Center Stanford University School Of Medicine
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