Castruita Ramon, Perez Samuel, Baldoncini Matias, Forlizzi Valeria, Martínez Angel
Department of Neurosurgery and Neuroendovascular Therapy, Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico.
Laboratory of Microsurgical Neuroanatomy, Second Chair of Gross Anatomy, School of Medicine, University of Buenos Aires, San Fernando Hospital, San Fernando, Argentina.
Surg Neurol Int. 2024 Nov 1;15:397. doi: 10.25259/SNI_809_2024. eCollection 2024.
Advances in surgical techniques, neuroimaging, and white matter fiber dissection have facilitated the identification of critical tracts like the frontal aslant tract (FAT) that have garnered attention, despite remaining poorly recognized within the neurosurgical community.
We report the case of a 37-year-old male right-handed patient presenting with headache and epilepsy, in whom neuroimaging revealed an intra-axial lesion in the left middle frontal gyrus closely associated with FAT. Successful navigation-guided resection of the lesion was achieved, resulting in a favorable neurological outcome attributable to the preservation of the tract. This case is complemented by a review of the literature and anatomical dissection of FAT in a human specimen.
The FAT has emerged as a critical white matter structure in neurosurgery, given its involvement in speech and motor functions. This case demonstrates the importance of advanced imaging modalities and intraoperative technologies to ensure safe resection.
手术技术、神经影像学和白质纤维解剖学的进展促进了对诸如额斜束（FAT）等关键神经束的识别，尽管其在神经外科界仍未得到充分认识，但已受到关注。
我们报告了一例37岁右利手男性患者，其表现为头痛和癫痫，神经影像学显示左侧额中回存在一个与FAT密切相关的轴内病变。成功进行了导航引导下的病变切除术，由于神经束得以保留，患者获得了良好的神经功能预后。本文还结合文献回顾及对人体标本中FAT的解剖进行了阐述。
鉴于FAT参与语言和运动功能，它已成为神经外科手术中的一个关键白质结构。本病例证明了先进成像方式和术中技术对于确保安全切除的重要性。
