Neurophysiological assisted transsulcal approach to a high grade glioma without affect neither motor nor somatosensory function

作者：Pastor Jesus^*; Pulido Rivas Paloma; Sola Rafael G

来源：Revista de Neurologia, 2013, 56(7): 370-374.

• Anesthetized craniotomy
• Fluorescence-guided resection
• Intraoperative neurophysiological monitoring
• Motor mapping
• Somatosensory evoked potentials

Neurophysiological assisted transsulcal approach to a high grade glioma without affect neither motor nor somatosensory function Introduction. Intraoperative mapping and neuronavigation permitted a safe approach through the rolandic sulcus, minimizing the impact onto the motor or somatosensory functions. Fluorescence-guide resection defines a limit that allows a total resection without exceed the border of the tumor.
Case report. A 39-year-old man who was operated by a tumor placed into the rolandic area. With the patient anesthetized (propofol + remyfentanil), we performed cortical mapping, neuronavigation and fluorescence-guide resection with 5-aminolevulinic acid. Post-resection neurophysiologic assessment showed a minor and highly localized effect onto the somato-sensory system.
Conclusion. Rolandic area surgery can be safely performed in anesthetized patients when extensive neurophysiological, anatomical and biological assessments are performed.

• 出版日期2013-4-1