Results and tolerance
of „awake“ resections of brain tumors
Bartoš R.1, Sameš M.1, Vachata P.1, Červenka M.2, Jech R.3, Vymazal J.4, Derner M.5
1Neurochirurgické oddělení, Masarykova nemocnice, 2ARO, Masarykova nemocnice, 3Neurologická klinika 1. LF UK, Všeobecná fakultní nemocnice, Praha 4MRI, Nemocnice Na Homolce, Praha, 5Radiodiagnostickéoddělení, Masarykova nemocnice, Ústí nad Labem |
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Summary:
Resection of brain tumors in the proximity of eloquent cortex carries the potential risk of postoperative neurological
deficit. The current trend aims towards the possibilities of functional mapping. The „gold“ standard
of functional mapping is cortical electrical stimulation, in the case of language mapping, performed
during the awake phase of surgery. In the presented paper, we evaluate the results of our own clinical study
of 17 patients. Another rapidly developing functional localization method is functional magnetic resonance
imaging (fMRI) using the BOLD contrast. In the discussion, we review the evolution and the present
state of these two methods.
Key words:
brain tumor, eloquent cortex, local anesthesia, cortical stimulation, functional magnetic resonance
imaging
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