Surgery of intrinsic cerebral tumors.

Abstract:

:Tumors and other structural lesions located with and adjacent to the cerebral cortex present certain challenges in terms of the overall management and design of surgical strategies. This comprehensive analysis attempts to define the current understanding of cerebral localization and function and includes the latest advances in functional imaging, as well as surgical technique, including localization of tumors and neurophysiological mapping to maximize extent of resection while minimizing morbidity. Finally, it remains to be seen whether or not stimulation mapping will be the most useful way to identify function within the cortex in the future. Another potential paradigm would be to actually record baseline oscillatory rhythms within the cortex and, following presentation of a given task, determine if those rhythms are disturbed enough to identify eloquent cortex as a means of functional localization. This would be a paradigm shift away from stimulation mapping, which currently deactivates the cortex, as opposed to identifying an activation function which identifies functional cortex.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Berger MS,Hadjipanayis CG

doi

10.1227/01.NEU.0000255489.88321.18

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

279-304; discussion 304-5

issue

1 Suppl

eissn

0148-396X

issn

1524-4040

pii

00006123-200707001-00020

journal_volume

61

pub_type

杂志文章,评审
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