Brain Mapping Techniques to Maximize Resection, Safety, and Seizure Control in Children with Brain Tumors
作者:
Mitchel Berger,
Joseph Kincaid,
George Ojemann,
Ettore Lettich,
期刊:
Neurosurgery
(OVID Available online 1989)
卷期:
Volume 25,
issue 5
页码: 786-792
ISSN:0148-396X
年代: 1989
出版商: OVID
关键词: Brain mapping;Brain tumors;Pediatrics;Seizures
数据来源: OVID
摘要:
&NA;Intraoperative brain mapping techniques were used to localize language cortex, sensorimotor pathways, and seizure foci in children with supratentorial brain tumors. The methods of direct cortical and subcortical stimulation, in addition to electrocorticography, enabled us to maximize tumor resection, minimize morbidity, and eradicate epileptogenic zones which were always adjacent to, but not involving, the tumor nidus. Language localization was found to be quite variable in the children tested and anatomically unpredictable based on the preoperative neurological or radiological examination. Physiological mapping techniques, therefore, appear to be safe, reliable, and very useful for operations on tumors located within or adjacent to eloquent brain regions in the pediatric population. (Neurosurgery25:786‐792, 1989)
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