Surgical Management of Gliomas in Eloquent Cortex.
Authors: Ferguson SD, McCutcheon IE
Abstract
Gliomas located in eloquent cortex impose a unique surgical obstacle. The oncological benefit of aggressive resection must be balanced with preservation of functional tissue and optimization of surgical outcome. Technical advances in preoperative functional imaging, refinement of intraoperative mapping, and conceptual understanding of cerebral plasticity have significantly improved the outcome of this patient population.
PMID: 29241173 [PubMed - in process] (Source: Progress in Neurological Surgery)
Source: Progress in Neurological Surgery - December 16, 2017 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Surgery of Insular Gliomas.
Authors: Duffau H
Abstract
For a long time, surgery within the insular lobe, especially in cases of intrinsic tumors, was considered as too dangerous. Even though such interventions are still challenging, resection of insular glioma became more popular during the past decade. First of all, this has happened due to better understanding of the functional anatomy of this complex brain region, combined with an improved knowledge of its connectivity. Furthermore, development of advanced intraoperative techniques, especially functional brain mapping with direct electrical stimulation, resulted in increased safet...
Source: Progress in Neurological Surgery - December 16, 2017 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Surgery of Critically Located Intracranial Gliomas.
Authors: Hori T, Ishida A, Aihara Y, Matsuo S, Yoshimoto H, Shiramizu H
Abstract
Management of deep-seated and midline gliomas originating from thalamus, hypothalamus, basal ganglia, and brainstem presents significant challenges. Aggressive resection of such tumors is frequently impossible due to excessive morbidity and mortality rates; thus, combinations of both surgical and non-surgical treatment options should be always considered. In each individual case, there should be reasonable clinical judgment with regard to the optimal outcome providing the best possible prognosis for the patient, with high qual...
Source: Progress in Neurological Surgery - December 16, 2017 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Surgery of Intracranial Gliomas in Children.
Authors: Balogun JA, Rutka JT
Abstract
Gliomas are the most common type of brain cancer in the pediatric patients, constituting about 50% of all childhood intracranial tumors. This is a highly heterogeneous group, varying from the benign WHO histopathological grades I and II to malignant WHO grades III and IV. The histology and location are significant prognostic factors, which influence the decision for surgical intervention, as well as the extent of possible tumor removal. In low-grade gliomas, surgery remains the initial option and should be directed at gross total resection in favorable locations, such...
Source: Progress in Neurological Surgery - December 16, 2017 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Surgical Management of Recurrent Intracranial Gliomas.
Authors: Ferguson SD, Momin EN, Weinberg JS
Abstract
In cases of recurrent gliomas, the treatment options are limited and not yet standardized. Choices usually include re-operation, systemic chemotherapy, salvage re-irradiation, and supportive care, which can be used either separately or in combination. From a surgical perspective, management of recurrent brain tumor poses a significant challenge, as the desire to attain aggressive lesion resection must be balanced against the need to preserve neurological functions and to maximize the quality of life. Additionally, specific practical difficulties in perfo...
Source: Progress in Neurological Surgery - December 16, 2017 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Role of Biopsies in the Management of Intracranial Gliomas.
Authors: Patel KS, Carter BS, Chen CC
Abstract
Gliomas encompass a wide spectrum of various histopathological entities with different management strategies and associated prognoses. In many cases, initial biopsy of the brain lesion is required, since definitive diagnosis forms the foundation for treatment decision-making. Tissue sampling can be attained during stereotactic, open, or endoscopic procedures and, overall, provides >90% diagnostic yield, while it may be significantly lower (60-70%) in small (<1 cm3) and/or heterogeneous lesions. In the majority of the modern series, the morbidity rates do...
Source: Progress in Neurological Surgery - December 16, 2017 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Cerebral Metabolism in Head Trauma1.
Authors: Rappaport ZH, Ransohoff J, Hass WK
PMID: 27242046 [PubMed] (Source: Progress in Neurological Surgery)
Source: Progress in Neurological Surgery - June 2, 2016 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Cerebral Blood Flow and Metabolism after Intracranial Trauma.
Authors: Langfitt TW, Obrist WD
PMID: 27242047 [PubMed] (Source: Progress in Neurological Surgery)
Source: Progress in Neurological Surgery - June 2, 2016 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Posttraumatic Hemispheric Contusion and Laceration.
Authors: Vigouroux RP, Guillermain P
PMID: 27242048 [PubMed] (Source: Progress in Neurological Surgery)
Source: Progress in Neurological Surgery - June 2, 2016 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Severity of Brain Damage - Altered Consciousness and Other Indicators.
Authors: Jennett B
PMID: 27242049 [PubMed] (Source: Progress in Neurological Surgery)
Source: Progress in Neurological Surgery - June 2, 2016 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Computer Tomography in Head Injury.
Authors: van Dongen K, Braakman R
PMID: 27242050 [PubMed] (Source: Progress in Neurological Surgery)
Source: Progress in Neurological Surgery - June 2, 2016 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Acute Traumatic Intracranial Hematomas.
Authors: Teasdale G, Galbraith S
PMID: 27242051 [PubMed] (Source: Progress in Neurological Surgery)
Source: Progress in Neurological Surgery - June 2, 2016 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Nonsurgical Management of Severe Head Injuries.
Authors: Reulen HJ, Schürmann K
PMID: 27242052 [PubMed] (Source: Progress in Neurological Surgery)
Source: Progress in Neurological Surgery - June 2, 2016 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
Post-Traumatic Epilepsy.
Authors: Loiseau P, Jallon P
PMID: 27242053 [PubMed] (Source: Progress in Neurological Surgery)
Source: Progress in Neurological Surgery - June 2, 2016 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
The Importance of Rehabilitation Programs in the Prevention and Alleviation of Head Injury Sequelae.
Authors: Cohadon F
PMID: 27242054 [PubMed] (Source: Progress in Neurological Surgery)
Source: Progress in Neurological Surgery - June 2, 2016 Category: Neurosurgery Tags: Prog Neurol Surg Source Type: research
