重复经颅磁刺激和二维超声在资源有限的情况下切除运动带区低级别胶质瘤的应用

IF 0.2 4区医学 Q4 CLINICAL NEUROLOGY

Neurology Asia Pub Date : 2023-09-01 DOI:10.54029/2023wrw

Sushanta Sahoo, Sujita Kar, Chhitij Srivastava

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引用次数: 0

摘要

雄辩区胶质瘤手术在技术上要求很高。功能区的识别和保存决定了长期的结果。本文讨论了经颅磁刺激(TMS)和二维超声(2DUSG)在切除运动带区低级别胶质瘤(LGG)中的应用。术前对5例LGG位于运动区附近的患者行经颅磁刺激评估，标记功能区。这些信息用于计划开颅手术。2DUSG用于检测切除边缘。2例完全切除可行，3例部分切除，无新增缺损。颅磁刺激是术前肿瘤靠近运动区定位的有效工具。此外，2DUSG提供实时成像，以保护雄辩的大脑区域。这两种方法的结合为资源有限的地区提供了一种低成本、简便易行的切除大面积脑肿瘤的方法。

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Use of repetitive transcranial magnetic stimulation and 2D ultrasound in resection of low-grade glioma at motor strip area in resource limited setting

Eloquent area glioma surgery is technically demanding. Identification and preservation of the functional area determines the long term outcome. Here we discuss the use of transcranial magnetic stimulation (TMS) and 2D ultrasound (2DUSG) in resection of low grade glioma (LGG) located at motor strip area. In five patients where the LGG was located close to motor area were evaluated with TMS in the preoperative period and the functional area is marked. This information is used for planning the craniotomy. A 2DUSG is used to detect the margin of resection. Complete excision was feasible in two and partial resection in three without any added deficit. TMS is an useful tool for localizing motor area in the pre operative period for patients with tumor located close to the motor area. Additionally 2DUSG provides real time imaging to safeguard the eloquent brain area. Combination of these two offers low cost, easily available method for resecting eloquent area brain tumors in resource limited areas.

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来源期刊

Neurology Asia CLINICAL NEUROLOGY-

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

>0 weeks

期刊介绍： Neurology Asia (ISSN 1823-6138), previously known as Neurological Journal of South East Asia (ISSN 1394-780X), is the official journal of the ASEAN Neurological Association (ASNA), Asian & Oceanian Association of Neurology (AOAN), and the Asian & Oceanian Child Neurology Association. The primary purpose is to publish the results of study and research in neurology, with emphasis to neurological diseases occurring primarily in Asia, aspects of the diseases peculiar to Asia, and practices of neurology in Asia (Asian neurology).