Department of Radiology, Hospital Universitario QuironSalud Madrid, C/ Diego de Velázquez 1, Pozuelo de Alarcón, 28223, Madrid, Spain.
Department of Neurosurgery, Hospital Universitario QuironSalud Madrid, Pozuelo de Alarcón, Madrid, Spain.
Curr Neurol Neurosci Rep. 2020 Sep 15;20(11):50. doi: 10.1007/s11910-020-01070-2.
First, an anatomical and functional review of these cortical areas and subcortical connections with T-fMRI and tractography techniques; second, to demonstrate the value of this approach in neurosurgical planning in a series of patients with tumors close to the SMA.
Implications in language and cognitive networks with a clear hemispheric lateralization of these SMA/pre-SMA. The recommendation of the use of the advanced neuroimaging studies for surgical planning and preservation of these areas. The SMA/pre-SMA and their subcortical connections are functional areas to be taken into consideration in neurosurgical planning. These areas would be involved in the control/inhibition of movement, in verbal expression and fluency and in tasks of cognitive control capacity. Its preservation is key to the patient's postsurgical cognitive and functional evolution.
首先，运用 T-fMRI 和示踪技术对这些皮质区及其与皮质下连接进行解剖学和功能回顾；其次，在一系列紧邻 SMA 的肿瘤患者中展示该方法在神经外科规划中的价值。
这些 SMA/pre-SMA 与语言和认知网络的关系明确显示出明显的半球侧化。建议使用高级神经影像学研究进行手术规划并保护这些区域。SMA/pre-SMA 及其皮质下连接是神经外科规划中需要考虑的功能区域。这些区域可能涉及运动的控制/抑制、言语表达和流畅性以及认知控制能力的任务。其保留对于患者术后认知和功能的演变至关重要。
