Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it

BACKGROUND: Awake brain mapping paradigms are variable, particularly in SMA, and not personalised to each patient. In addition, subpial resections do not offer full protection to vascular injury, as the pia can be easily violated. METHODS: Mapping paradigms developed by a multidisciplinary brain map...

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Autores principales: Klitsinikos, Dimitris, Ekert, Justyna O., Carels, Annefloor, Samandouras, George
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2021
Materias:
How I Do it - Brain Tumors
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053665/
https://www.ncbi.nlm.nih.gov/pubmed/33779836
http://dx.doi.org/10.1007/s00701-021-04774-7
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author Klitsinikos, Dimitris
Ekert, Justyna O.
Carels, Annefloor
Samandouras, George
author_facet Klitsinikos, Dimitris
Ekert, Justyna O.
Carels, Annefloor
Samandouras, George
author_sort Klitsinikos, Dimitris
collection PubMed
description BACKGROUND: Awake brain mapping paradigms are variable, particularly in SMA, and not personalised to each patient. In addition, subpial resections do not offer full protection to vascular injury, as the pia can be easily violated. METHODS: Mapping paradigms developed by a multidisciplinary brain mapping team. During resection, a combined subpial/interhemispheric approach allowed early identification and arterial skeletonization. Precise anatomo-surgical dissection of the affected cingulum and corpus callosum was achieved. CONCLUSIONS: In SMA-cingulum-CC tumours, a combined subpial/interhemispheric approach reduces risk of vascular injury allowing precise anatomo-surgical dissections. Knowledge of cognitive functions of affected parcels is likely to offer best outcomes. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-021-04774-7.
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spelling pubmed-80536652021-05-05 Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it Klitsinikos, Dimitris Ekert, Justyna O. Carels, Annefloor Samandouras, George Acta Neurochir (Wien) How I Do it - Brain Tumors BACKGROUND: Awake brain mapping paradigms are variable, particularly in SMA, and not personalised to each patient. In addition, subpial resections do not offer full protection to vascular injury, as the pia can be easily violated. METHODS: Mapping paradigms developed by a multidisciplinary brain mapping team. During resection, a combined subpial/interhemispheric approach allowed early identification and arterial skeletonization. Precise anatomo-surgical dissection of the affected cingulum and corpus callosum was achieved. CONCLUSIONS: In SMA-cingulum-CC tumours, a combined subpial/interhemispheric approach reduces risk of vascular injury allowing precise anatomo-surgical dissections. Knowledge of cognitive functions of affected parcels is likely to offer best outcomes. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-021-04774-7. Springer Vienna 2021-03-29 2021 /pmc/articles/PMC8053665/ /pubmed/33779836 http://dx.doi.org/10.1007/s00701-021-04774-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle How I Do it - Brain Tumors
Klitsinikos, Dimitris
Ekert, Justyna O.
Carels, Annefloor
Samandouras, George
Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it
title Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it
title_full Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it
title_fullStr Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it
title_full_unstemmed Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it
title_short Mapping and anatomo-surgical techniques for SMA-cingulum-corpus callosum gliomas; how I do it
title_sort mapping and anatomo-surgical techniques for sma-cingulum-corpus callosum gliomas; how i do it
topic How I Do it - Brain Tumors
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053665/
https://www.ncbi.nlm.nih.gov/pubmed/33779836
http://dx.doi.org/10.1007/s00701-021-04774-7
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