Yindeedej Vich, Nakajo Kosuke, Tanoue Yuta, Ichinose Tsutomu, Goto Takeo
Department of Neurosurgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan; and.
Division of Neurosurgery, Department of Surgery, Thammasat University Hospital, Faculty of Medicine, Thammasat University, Pathumthani, Thailand.
Neurosurg Focus Video. 2025 Jan 1;12(1):V3. doi: 10.3171/2024.10.FOCVID24101. eCollection 2025 Jan.
Surgery of lesions around Wernicke's area is challenging for several reasons. The anatomical boundaries are not clearly defined, necessitating functional identification in addition to anatomical landmarks. There are potential complications secondary to injury of the surrounding structures. This challenge is more substantial when dealing with lower-grade gliomas in this region, as surgeons must balance the extent of resection with the risk of potential injury to the patient, especially considering that there may be other treatment options for the management of residual tumors. In this video, the authors present a case illustration, discussing surgical considerations and strategy. The video can be found here: https://stream.cadmore.media/r10.3171/2024.10.FOCVID24101.
由于多种原因,韦尼克区周围病变的手术具有挑战性。其解剖边界定义不明确,除了解剖标志外还需要进行功能识别。周围结构损伤会引发潜在并发症。在处理该区域的低级别胶质瘤时,这一挑战更为严峻,因为外科医生必须在切除范围与对患者潜在损伤风险之间取得平衡,尤其要考虑到对于残留肿瘤可能存在其他治疗选择。在本视频中,作者展示了一个病例,讨论了手术考量和策略。该视频可在此处找到:https://stream.cadmore.media/r10.3171/2024.10.FOCVID24101 。