"Next Door" intraoperative magnetic resonance imaging for awake craniotomy: Preliminary experience and technical note.

ABSTRACT:

Background

During glioma surgery "maximal safe resection" must be the main goal. Intraoperative magnetic resonance imaging (iMRI) associated with awake craniotomy (AC) is a valuable tool to achieve this objective. In this article, AC with a "next-door" iMRI concept is described in a stepwise protocol.

Methods

This is a retrospective analysis of 18 patients submitted to AC using iMRI; a stepwise protocol is also discussed.

Results

The mean age was 41.7 years. Hemiparesis, aphasia, and seizures were the main initial symptoms of the patients. Sixty-six percent of the tumors were located in the left hemisphere. All tumors were near or within eloquent areas. Fifty-three percent of the cases were glioblastomas multiforme and 47% of the patients had low grade gliomas. The me

SUBMITTER: Mathias RN 

PROVIDER: S-EPMC5234280 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature