Walsh A R, Schmidt R H, Marsh H T
Department of Neurosurgery, Atkinson Morley's Hospital, London, UK.
Br J Neurosurg. 1990;4(6):485-91. doi: 10.3109/02688699008993797.
We report four cases of the use of per-operative cortical mapping during craniotomy under local anaesthesia to define the relationship between the glioma and speech and somatosensory cortex. This enabled a radical subtotal (two cases) or an apparent total (two cases) excision of the tumour close to somatosensory and speech cortex with no permanent neurological deficit. Use of this technique allows radical excision of intrinsic low and intermediate grade gliomas that would otherwise be considered unexcisable and may lead to an improved survival.
我们报告了4例在局部麻醉下开颅手术期间使用术中皮质图谱来确定神经胶质瘤与言语及躯体感觉皮层之间关系的病例。这使得在靠近躯体感觉和言语皮层处对肿瘤进行根治性次全切除（2例）或明显全切除（2例），且无永久性神经功能缺损。使用该技术能够根治性切除原本被认为无法切除的原发性低级别和中级别的神经胶质瘤，并可能提高生存率。
