Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it.
Ontology highlight
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.
SUBMITTER: Klitsinikos D
PROVIDER: S-EPMC8053665 | biostudies-literature | 2021 May
REPOSITORIES: biostudies-literature
Publications
Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it.
Klitsinikos Dimitris D Ekert Justyna O JO Carels Annefloor A Samandouras George G
Acta neurochirurgica 20210329 5
<h4>Background</h4>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.<h4>Methods</h4>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 ci ...[more]
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