Two-staged resection of a left frontal astrocytoma involving the operculum and insula using intraoperative neurophysiological monitoring--case report.

Abstract:

:A 29-year-old right-handed male with a 12-year education presented with a 2-month history of generalized epileptic activity. Neuroradiological imaging demonstrated a large lesion in the left frontal lobe involving the insulooperculum and in the temporal tip. Neurological and neuropsychological examination revealed no abnormality. Two-staged total resection of a left frontal large astrocytoma involving the insulooperculum was achieved, with preservation of the speech and motor functions. The prefrontal area was resected en bloc under general anesthesia. To avoid vascular damage including the lenticulostriate arteries, the sylvian and the interhemispheric fissures were thoroughly opened. The tumor was apparently located in the anatomical Broca's area. Eighteen days later, the residual tumor was totally resected with no language deficit after identifying the motor-speech cortex, which was displaced from the usual location, by direct cortical stimulation under local anesthesia. The medially extended insular tumor was then resected stepwise with frequent neurological monitoring with the patient awake. Surgery for intraaxial insuloopercular lesions in the dominant hemisphere carries a high risk of speech and motor deficit. This staged operation enables maximum tumor resection of dominant-side large frontal gliomas involving the insuloopercular region, with preservation of both motor and speech functions.

authors

Kumabe T,Nakasato N,Suzuki K,Sato K,Sonoda Y,Kawagishi J,Yoshimoto T

doi

10.2176/nmc.38.503

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

503-7

issue

8

eissn

0470-8105

issn

1349-8029

pii

JST.Journalarchive/nmc1959/38.503

journal_volume

38

pub_type

杂志文章
  • Neonatal brain abscess with intracystic hemorrhage--case report.

    abstract::The authors describe the case of an 11-day-old boy with high fever and signs of meningeal irritation in whom computed tomography demonstrated a large brain abscess with intracystic hemorrhage in the right temporal lobe. Cerebrospinal fluid analysis indicated purulent meningitis caused by Escherichia coli. After aspira...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.29.861

    authors: Nakagawa Y,Shinno K,Akaike Y,Fujimoto N,Okajima K,Matsumoto K

    更新日期:1989-09-01 00:00:00

  • Predictors of intracranial hematoma enlargement in patients undergoing hemodialysis.

    abstract::The factors associated with hematoma enlargement were analyzed in 24 patients, 16 males and eight females aged 46 to 77 years (mean 58 years), undergoing chronic hemodialysis who were admitted to our hospital with intracerebral hemorrhage between 1994 and 2003. Computed tomography demonstrated hematoma enlargement in ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.47.47

    authors: Miyahara K,Murata H,Abe H

    更新日期:2007-02-01 00:00:00

  • Analysis of Puncture Site-related Complications in Japanese Registry of Neuroendovascular Therapy (JR-NET)3.

    abstract::A subgroup analysis of puncture site-related complications listed in the Japanese Registry of NeuroEndovascular Therapy 3, based on retrospective studies, was performed. Puncture site-related complications occurred in 315 (0.73%, average age: 65.2) of 36,708 patients out of all 43,303 registered cases. Carotid artery ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.oa.2019-0243

    authors: Sato M,Matsumaru Y,Sakai N,JR-NET study group affiliations.

    更新日期:2020-05-15 00:00:00

  • Nevoid Basal cell carcinoma syndrome with medulloblastoma and meningioma--case report.

    abstract::A 35-year-old man presented with a rare case of nevoid basal cell carcinoma syndrome, or Gorlin's syndrome, associated with both medulloblastoma and meningioma, manifesting as visual field constriction due to multiple parasellar tumors. He had undergone resection of a medulloblastoma at the age of 1 year 9 months, fol...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.44.665

    authors: Fukushima Y,Oka H,Utsuki S,Iwamoto K,Fujii K

    更新日期:2004-12-01 00:00:00

  • Large dorsal internal carotid artery aneurysm--report of two cases.

    abstract::Two patients with unusually large dorsal internal carotid artery aneurysms manifesting as subarachnoid hemorrhage are described. Surgery in both cases resulted in intraoperative rupture of the sac. The outcome was poor in the first patient and excellent in the second. The importance of wide exposure of the proximal an...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.33.564

    authors: Diraz A,Kobayashi S,Gibo H,Ohsawa M

    更新日期:1993-08-01 00:00:00

  • Spontaneous vertebral arteriovenous fistula--case report.

    abstract::A 57-year-old male presented with a rare case of spontaneous vertebral arteriovenous fistula manifesting as radiculopathy of the right arm, subsequently associated with pulsating tinnitus and vascular bruit in the nape. He had a past history of chiropractic-induced vertebrobasilar infarction. Angiography showed a simp...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.40.211

    authors: Yoshida S,Nakazawa K,Oda Y

    更新日期:2000-04-01 00:00:00

  • Endorsement of the FOUR score for consciousness assessment in neurosurgical patients.

    abstract::The Full Outline of UnResponsiveness (FOUR) score was previously developed for neurological assessment, but has not been validated in neurosurgical patients, so was compared to the Glasgow Coma Scale (GCS) in practice. Four groups of raters, expert clinicians, novice clinicians, experienced nurses, and inexperienced n...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.49.565

    authors: Akavipat P

    更新日期:2009-12-01 00:00:00

  • Burr-hole Irrigation with Closed-system Drainage for the Treatment of Chronic Subdural Hematoma: A Meta-analysis.

    abstract::There is controversy among neurosurgeons regarding whether irrigation or drainage is necessary for achieving a lower revision rate for the treatment of chronic subdural hematoma (CSDH) using burr-hole craniostomy (BHC). Therefore, we performed a meta-analysis of all available published reports. Multiple electronic hea...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,meta分析,评审

    doi:10.2176/nmc.ra.2015-0013

    authors: Xu C,Chen S,Yuan L,Jing Y

    更新日期:2016-01-01 00:00:00

  • Evaluation of the Production and Absorption of Cerebrospinal Fluid.

    abstract::The traditional hypothesis of cerebrospinal fluid (CSF) hydrodynamics presumes that CSF is primarily produced in the choroid plexus (CP), then flows from the ventricles into the subarachnoid spaces, and mainly reabsorbed in the arachnoid granulations. This hypothesis is necessary to reconsider in view of recent resear...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.ra.2015-0003

    authors: Miyajima M,Arai H

    更新日期:2015-01-01 00:00:00

  • A new neurosurgical ventriculoscope--technical note.

    abstract::A new, flexible fiberoptic ventriculoscope for observation of the ventricles and major cisterns is reported. This device has been safely used to examine patients with obstructive hydrocephalus due to lesions within the lateral and third ventricles or to congenital aqueductal stenosis. With this instrument, a pineal tu...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.30.77

    authors: Oka K,Ohta T,Kibe M,Tomonaga M

    更新日期:1990-01-01 00:00:00

  • Pineal region tumor manifesting initially as hearing impairment.

    abstract::An 18-year-old male presented with a pineal region germinoma with hearing impairment as the chief complaint. Magnetic resonance image demonstrated a well-enhanced multi-cystic tumor extending into the upper fourth ventricle and wall of the bilateral lateral ventricles. Audiometry revealed bilateral mild hearing impair...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.42.301

    authors: Islam MS,Asano K,Tabata H,Ohkuma H,Suzuki S

    更新日期:2002-07-01 00:00:00

  • Intraosseous meningioma of the posterior fossa--Case report.

    abstract::A 62-year-old male presented with a rare intraosseous meningioma with intradural extension manifesting as frequent vomiting and floating sensation that had persisted for 3 months. Neuroimaging detected a mass lesion that was mainly located extradurally in the right posterior fossa with a daughter lesion inside the dur...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.41.149

    authors: Yamazaki T,Tsukada A,Uemura K,Satou H,Tsuboi K,Nose T

    更新日期:2001-03-01 00:00:00

  • Simple new method for making a rat carotid artery post-angioplasty stenosis model.

    abstract::A simple new method for making a rat post-angioplasty stenosis model was developed using a single-lumen compliant balloon catheter/guidewire system and no special diet. This technique was applied to 10 9-week-old Wistar rats fed a normal diet. The catheter/guidewire system was inserted from the external carotid artery...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.47.525

    authors: Tsuruta W,Yamamoto T,Suzuki K,Yoshida F,Matsumura A

    更新日期:2007-11-01 00:00:00

  • Selection and combination of techniques for treating spontaneous carotid-cavernous sinus fistulas.

    abstract::Twenty-eight patients with spontaneous carotid-cavernous sinus fistulas (CCFs) were treated using a variety of techniques. Three of four patients with direct CCFs underwent intravascular embolization with a detachable balloon. Embolization with polyvinyl alcohol particles through an external carotid endoarterial route...

    journal_title:Neurologia medico-chirurgica

    pub_type: 临床试验,杂志文章

    doi:10.2176/nmc.34.597

    authors: Kinugasa K,Tokunaga K,Kamata I,Mandai S,Sugiu K,Handa A,Ohmoto T

    更新日期:1994-09-01 00:00:00

  • Aspergillus mycotic aneurysm--case report.

    abstract::A 61-year-old female developed subarachnoid hemorrhage after trans-sphenoidal surgery for Rathke's cleft cyst. Neuroradiological examination revealed a large aneurysm at the C1 portion of the right internal carotid artery. Autopsy revealed marked proliferation of aspergillus hyphae in the wall of the aneurysm. A revie...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.31.346

    authors: Komatsu Y,Narushima K,Kobayashi E,Tomono Y,Nose T

    更新日期:1991-06-01 00:00:00

  • Isolated superficial sylvian vein thrombosis with long cord sign: case report and review of the literature.

    abstract::Isolated cortical vein thrombosis (ICVT) is extremely rare. Only single case or small series of ICVT have been reported; clinical details are still uncertain. We report a case of isolated superficial sylvian vein thrombosis with exceedingly long cord sign. A 14-year-old female with severe sudden onset headache visited...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.cr2012-0220

    authors: Kitamura Y,Hara K,Tsunematsu K

    更新日期:2014-01-01 00:00:00

  • Primary Ewing's sarcoma of the occipital bone--case report.

    abstract::A 12-year-old boy presented with primary Ewing's sarcoma of the occipital bone manifesting as intermittent high fever and local pain in the occipital region. Plain skull x-ray films disclosed an unclear lytic lesion in the occipital bone. Computed tomography and magnetic resonance imaging demonstrated the irregularly ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.34.246

    authors: Zenke K,Hatakeyama T,Hashimoto H,Sakaki S,Manabe K

    更新日期:1994-04-01 00:00:00

  • Endovascular treatment in pregnancy.

    abstract::There is an increased risk of stroke during pregnancy and the puerperium. Decisions should be made immediately upon transfer to each institution, particularly with respect to when and how to treat the patient. This review highlights the feasibility of endovascular treatment in pregnancy. Most of the pharmaceutical age...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.53.541

    authors: Ishii A,Miyamoto S

    更新日期:2013-01-01 00:00:00

  • Bromocriptine-induced morphological changes in cultured growth hormone-producing pituitary adenoma cells.

    abstract::Tumor tissues obtained from two patients with growth hormone-producing pituitary adenomas were cultured and treated with bromocriptine, then examined for morphological changes. Untreated tumor cells (controls) were morphologically well preserved and in terms of growth hormone secretion. Tumor cells exposed to bromocri...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.29.6

    authors: Inoue A,Saito S,Kitamura H,Nakai O

    更新日期:1989-01-01 00:00:00

  • New grading system to predict resectability of anterior clinoid meningiomas.

    abstract::Sixty patients with anterior clinoid meningiomas (mean age 48 years) were surgically treated. There was a slight female predominance. Headache and visual impairment were the commonest clinical symptoms at presentation. The patients were classified on the basis of extent of the visual impairment, size of the tumor, and...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.40.610

    authors: Goel A,Gupta S,Desai K

    更新日期:2000-12-01 00:00:00

  • Utility of direct stimulation of roots in spinal surgery.

    abstract::Prevention of postoperative neurological deficits is a major concern of spinal surgeons and has led to the introduction and current development of intraoperative neurophysiological monitoring. We have used motor evoked potentials and somatosensory evoked potentials as routine monitoring techniques and, in some cases, ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.51.356

    authors: Takeda M,Yamaguchi S,Morishige M,Eguchi K,Kurisu K

    更新日期:2011-01-01 00:00:00

  • Coil embolization of a ruptured aneurysm arising from a middle cerebral artery fenestration--case report.

    abstract::An 81-year-old woman was transferred to our hospital after suffering loss of consciousness. Computed tomography revealed subarachnoid hemorrhage. Angiography revealed middle cerebral artery fenestration and a ruptured aneurysm arising from the inferior limb of the fenestrated artery. Coil embolization of the aneurysm ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.50.213

    authors: Yamaguchi S,Ito O,Suzuki S

    更新日期:2010-01-01 00:00:00

  • Spontaneous thrombosis of intracavernous internal carotid artery aneurysm and parent artery occlusion in patients with positive balloon test occlusion--two case reports.

    abstract::Two patients with giant intracavernous internal carotid artery (ICA) aneurysms were intolerant to balloon test occlusion of the ICA, and later developed spontaneous thrombosis of the aneurysm and the parent ICA without ischemic sequelae. Case 1: A 60-year-old female with a giant right intracavernous ICA aneurysm prese...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.41.436

    authors: Kurokawa R,Kuroshima Y,Yoshida K,Kawase T

    更新日期:2001-09-01 00:00:00

  • Cervical (non-terminal) myelocystocele associated with rapidly progressive hydrocephalus and Chiari type II malformation--case report.

    abstract::An infant presented with a rare cervical (non-terminal) myelocystocele as a congenital skin-covered mass located in the midline of the posterior aspect of her neck. Magnetic resonance (MR) imaging and computed tomography showed a cystic mass filled with cerebrospinal fluid in the midline of the posterior aspect of the...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.50.174

    authors: Ochiai H,Kawano H,Miyaoka R,Nagano R,Kohno K,Nishiguchi T,Shimao Y

    更新日期:2010-01-01 00:00:00

  • Pathological laughter caused by frontal glioblastoma: case report.

    abstract::A 60-year-old, right-handed female presented with episodes of pathological laughter and left hemiparesis. She had no history of traumatic brain injury, or neurological or psychiatric disease, and showed no signs of drug or alcohol abuse. Neurological examination found moderate left hemiparesis. Her face was symmetrica...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.48.307

    authors: Tsutsumi S,Yasumoto Y,Ito M

    更新日期:2008-07-01 00:00:00

  • Association of paranasal sinus osteoma and intracranial mucocele--two case reports.

    abstract::Two young adult males presented with paranasal sinus osteoma associated with mucocele. A 20-year-old man presented with headache and seizure, and another 20-year-old man presented with headache, frontal deformity, and visual disturbances. Both patients underwent surgery and satisfactory results were obtained. Isolated...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.44.201

    authors: Akay KM,Ongürü O,Sirin S,Celasun B,Gönül E,Timurkaynak E

    更新日期:2004-04-01 00:00:00

  • Diagnosis and treatment of brainstem abscess using magnetic resonance imaging and microsurgical aspiration--case report.

    abstract::A 6-year-old boy presented with a pontine abscess initially misdiagnosed as brainstem glioma, but he deteriorated rapidly and developed new symptoms of respiratory distress. Magnetic resonance (MR) imaging revealed a rapidly growing mass lesion in the pons. Microsurgical evacuation of the abscess via a suboccipital re...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.35.160

    authors: Imai H,Ono N,Zama A,Tamura M

    更新日期:1995-03-01 00:00:00

  • Asymptomatic syringomyelia associated with cerebellopontine angle meningioma--case report.

    abstract::A 66-year-old female with a 3-year history of left trigeminal neuralgia presented with an unusual left cerebellopontine angle meningioma associated with asymptomatic syringomyelia at the C2 to C4 levels diagnosed by magnetic resonance (MR) imaging. Two months after total tumor removal, the syringomyelia had diminished...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.33.833

    authors: Fukui K,Kito A,Iguchi I

    更新日期:1993-12-01 00:00:00

  • Intracranial extracerebral neuroblastoma originating from the convexity dura mater.

    abstract::A 19-year-old female presented with an unusual intracranial extracerebral neuroblastoma originating from the dura mater. The tumor was located in the right frontal convexity, and had adhered neither to the underlining arachnoid membrane nor the cerebral cortex. The tumor feeders were meningeal arteries. Light microsco...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.36.19

    authors: Ishii N,Sawamura Y,Aoki T,Nagashima K,Kashiwaba T,Abe H

    更新日期:1996-01-01 00:00:00

  • Giant congenital capillary hemangioma of pericranium--case report.

    abstract::The authors report a newborn male infant with a giant congenital capillary hemangioma of the pericranium. An elastic mass, measuring 6.5 x 6.9 x 3.9 cm, was located in the parieto-occipital region. Neurological examination revealed no abnormality. Angiographically, the tumor was fed symmetrically by the bilateral supe...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.30.1029

    authors: Tokuda Y,Uozumi T,Sakoda K,Yamada K,Yamanaka M,Nomura S,Hamasaki T

    更新日期:1990-12-01 00:00:00