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SMA 联合扣带回-胼胝体胶质瘤的绘制与解剖-手术技术；我的做法。

Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it.

机构信息

Victor Horsley Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.

Wellcome Centre for Human Neuroimaging, University College London, 12 Queen Square, London, UK.

出版信息

Acta Neurochir (Wien). 2021 May;163(5):1239-1246. doi: 10.1007/s00701-021-04774-7. Epub 2021 Mar 29.

DOI:10.1007/s00701-021-04774-7
PMID:33779836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8053665/
Abstract

BACKGROUND

Awake brain mapping paradigms are variable, particularly in SMA, and not personalised to each patient. In addition, subpial resections do not offer full protection to vascular injury, as the pia can be easily violated.

METHODS

Mapping paradigms developed by a multidisciplinary brain mapping team. During resection, a combined subpial/interhemispheric approach allowed early identification and arterial skeletonization. Precise anatomo-surgical dissection of the affected cingulum and corpus callosum was achieved.

CONCLUSIONS

In SMA-cingulum-CC tumours, a combined subpial/interhemispheric approach reduces risk of vascular injury allowing precise anatomo-surgical dissections. Knowledge of cognitive functions of affected parcels is likely to offer best outcomes.

摘要

背景

清醒大脑映射范式是可变的，特别是在 SMA 中，并且不能针对每个患者进行个性化。此外，软膜下切除术不能为血管损伤提供完全的保护，因为软膜很容易被侵犯。

方法

由多学科大脑映射团队开发的映射范式。在切除过程中，采用软膜下联合半球间入路可以早期识别和动脉骨骼化。精确的解剖-手术解剖受影响的扣带回和胼胝体。

结论

在 SMA-扣带回-胼胝体肿瘤中，联合软膜下/半球间入路降低了血管损伤的风险，允许进行精确的解剖-手术解剖。了解受影响区域的认知功能可能会提供最佳的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/ebb45e5fc43d/701_2021_4774_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/d7e18d613f5c/701_2021_4774_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/961fdf221965/701_2021_4774_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/8c1882f57a36/701_2021_4774_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/9e879d9ed140/701_2021_4774_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/31766416aac1/701_2021_4774_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/ebb45e5fc43d/701_2021_4774_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/d7e18d613f5c/701_2021_4774_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/961fdf221965/701_2021_4774_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/8c1882f57a36/701_2021_4774_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/9e879d9ed140/701_2021_4774_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/31766416aac1/701_2021_4774_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09eb/8053665/ebb45e5fc43d/701_2021_4774_Fig6_HTML.jpg

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