Kitabayashi Tomohiro, Nakada Mitsutoshi, Kinoshita Masashi, Sakurai Hiroyuki, Kobayashi Saori, Okita Hirokazu, Nanbu Yuko, Hayashi Yutaka, Hamada Jun-Ichiro
Department of Neurosurgery, Kanazawa University, Kanazawa-city, Japan.
No Shinkei Geka. 2012 Dec;40(12):1087-93.
Awake surgery for lesions in the non-dominant parietal lobe is rare. We report two cases of right parietal lobe glioma for which awake surgery was performed in order to avoid ataxie optique and hemispatial neglect due to injury in the superior and inferior parietal lobule, respectively. Among several tests to assess the dysfunction of spatial recognition, line bisection test was selected for the task during awake surgery because of its simplicity, easy repetition, and utility. The tumor was successfully removed without any neurological deficit in both the cases. The line bisection test is simple and useful for preserving spatial recognition during an awake surgery.
非优势顶叶病变的清醒手术很少见。我们报告两例右侧顶叶胶质瘤病例，分别因避免上顶叶和下顶叶损伤导致的视觉共济失调和半侧空间忽视而进行了清醒手术。在评估空间识别功能障碍的多项测试中，由于直线二等分测试简单、易于重复且实用，因此在清醒手术期间被选用于该任务。两例患者均成功切除肿瘤，且无任何神经功能缺损。直线二等分测试简单且有助于在清醒手术期间保留空间识别功能。
