Published in:
01-04-2021 | Glioma | How I Do it - Tumor - Glioma
How I do it? Anatomical multifocal high-grade glioma resection
Authors:
Zixiao Yang, Jianping Song, Wei Zhu
Published in:
Acta Neurochirurgica
|
Issue 4/2021
Login to get access
Abstract
Background
If an awake surgery is somehow not available for gliomas at the language area, understanding the anatomy and well-designed surgical strategy are important.
Method
We present a case with left hemispheric multifocal high-grade gliomas located deeply at the left temporal pole, the Wernicke’s area, and mesial temporal region. Because the patient could not endure the awake surgery and obtain practicable functional magnetic resonance imaging (MRI) for eloquent cortex evaluation, we removed the lesions following the anatomical resection strategy guided by diffusion tensor imaging (DTI).
Conclusion
This case demonstrates the value of DTI and the importance of anatomical resection strategies in glioma surgeries.