Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, No. 12 Wulumuqi Zhong Road, Shanghai, 200040, China.
Neurosurgical Institute of Fudan University, Shanghai, 200040, China.
Acta Neurochir (Wien). 2021 May;163(5):1323-1326. doi: 10.1007/s00701-021-04741-2. Epub 2021 Feb 16.
The cingulate gyrus is part of the limbic system with extensive connectivity to different anatomical and functional areas. The traditional transcortical approach for a cingulate gyrus glioma contains high risk of transient or even irreversible postoperative hemiplegia.
We present a case of gravity-assisted, fully endoscopic resection of a cingulate gyrus glioma with improvement of motor dysfunction while preserving the paracentral lobule, corticospinal tracts, and supplementary motor area.
This case demonstrates the value of gravity-assisted endoscopic resection in the dominant cingulate gyrus tumor which is surrounded by eloquent parenchyma.
扣带回是边缘系统的一部分，与不同的解剖和功能区域广泛连接。传统的经皮质方法切除扣带回胶质瘤存在很高的术后偏瘫风险，这种偏瘫可能是暂时的，甚至是不可逆转的。
我们报告了一例重力辅助下全内镜切除扣带回胶质瘤的病例，在保留中央旁小叶、皮质脊髓束和辅助运动区的同时，改善了运动功能障碍。
本病例表明，重力辅助内镜切除术对于被功能区组织环绕的优势侧扣带回肿瘤具有重要价值。
