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Published in: Acta Neurochirurgica 4/2021

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

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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.
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Metadata
Title
How I do it? Anatomical multifocal high-grade glioma resection
Authors
Zixiao Yang
Jianping Song
Wei Zhu
Publication date
01-04-2021
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 4/2021
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-020-04637-7

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