Gasco Jaime, Tummala Sudhakar, Mahajan Ninad M, Weinberg Jeffrey S, Prabhu Sujit S
Department of Neurosurgery, University of Texas M.D. Anderson Cancer Center, Houston, TX 77030-4009, USA.
Stereotact Funct Neurosurg. 2009;87(6):395-8. doi: 10.1159/000258080. Epub 2009 Nov 12.
The importance of preserving function during glioma surgery cannot be overemphasized. There are a number of techniques utilized including functional MRI, direct electrophysiological monitoring and functional neuronavigation to maximize and safely resect gliomas. The intraoperative MRI is an extremely valuable tool and adds to the neurosurgeon's armamentarium. Combining these technologies will enhance the safety and efficacy of glioma surgery. This is the first report in the literature where we successfully combine both functional neuronavigation and subcortical stimulation, using a single probe to safely resect a recurrent glioblastoma.
在胶质瘤手术中保留功能的重要性无论如何强调都不为过。有多种技术可供使用,包括功能磁共振成像、直接电生理监测和功能神经导航,以最大程度地安全切除胶质瘤。术中磁共振成像是一种极其有价值的工具,为神经外科医生增添了新的手段。将这些技术结合起来将提高胶质瘤手术的安全性和有效性。这是文献中的首例报告,我们成功地将功能神经导航和皮质下刺激相结合,使用单一探头安全切除复发性胶质母细胞瘤。