The combination of neuronavigation with transcranial magnetic stimulation for treatment of opercular gliomas of the dominant brain hemisphere.

Abstract:

OBJECTIVE:The objective of this study is to investigate the application of transcranial magnetic stimulation combined with neuronavigation for preoperative mapping of the language area in neurosurgical interventions on the opercular area of the dominant hemisphere. METHODS:Five patients were operated upon gliomas in the opercular area. For localization of the speech area a transcranial magnetic stimulator MEDTRONIC-MagPro was used. BrainLAB-VectorVision Neuronavigation system was utilized for precise planning of the operative approach. RESULTS:Gross total resection was achieved in all patients. Three-month postoperative follow-up was done. Three of the patients had a transient postoperative motor aphasia which resolved within 1 month. CONCLUSION:This method is useful for preoperative localization of the speech area, as well as preoperative planning of the operative approach and intra-operative planning of the direction of brain retraction and operative corridor.

journal_name

Clin Neurol Neurosurg

authors

Shamov T,Spiriev T,Tzvetanov P,Petkov A

doi

10.1016/j.clineuro.2010.05.005

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

672-7

issue

8

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(10)00147-2

journal_volume

112

pub_type

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