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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Supratotal Resection of Diffuse Frontal Lower Grade Gliomas with Awake Brain Mapping, Preserving Motor, Language, and Neurocognitive Functions

http://hdl.handle.net/2237/00029264
http://hdl.handle.net/2237/00029264
0835cb07-fa89-47d1-938a-9547af1a5817
名前 / ファイル ライセンス アクション
Supratotal_resection_manuscript Supratotal_resection_manuscript PDF_Motomura (894.6 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2019-02-08
タイトル
タイトル Supratotal Resection of Diffuse Frontal Lower Grade Gliomas with Awake Brain Mapping, Preserving Motor, Language, and Neurocognitive Functions
言語 en
著者 Motomura, Kazuya

× Motomura, Kazuya

WEKO 88674

en Motomura, Kazuya

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Chalise, Lushun

× Chalise, Lushun

WEKO 88675

en Chalise, Lushun

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Ohka, Fumiharu

× Ohka, Fumiharu

WEKO 88676

en Ohka, Fumiharu

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Aoki, Kosuke

× Aoki, Kosuke

WEKO 88677

en Aoki, Kosuke

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Tanahashi, Kuniaki

× Tanahashi, Kuniaki

WEKO 88678

en Tanahashi, Kuniaki

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Hirano, Masaki

× Hirano, Masaki

WEKO 88679

en Hirano, Masaki

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Nishikawa, Tomohide

× Nishikawa, Tomohide

WEKO 88680

en Nishikawa, Tomohide

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Wakabayashi, Toshihiko

× Wakabayashi, Toshihiko

WEKO 88681

en Wakabayashi, Toshihiko

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Natsume, Atsushi

× Natsume, Atsushi

WEKO 88682

en Natsume, Atsushi

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報 © 2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
キーワード
主題Scheme Other
主題 Awake brain mapping
キーワード
主題Scheme Other
主題 Frontal lower grade gliomas
キーワード
主題Scheme Other
主題 Neurocognitive function
キーワード
主題Scheme Other
主題 Working memory
抄録
内容記述 Objective: Extended margin tumor resection beyond the abnormal area detected by magnetic resonance imaging, defined as supratotal resection, could improve the outcomes of patients with lower grade gliomas (LGGs). The aim of the present study was to assess the surgical outcomes of awake brain mapping to achieve supratotal resection with determination of the normal brain tissue boundaries beyond the tumor of frontal LGGs, in both dominant and nondominant hemispheres. Methods: We analyzed the data from 9 patients with diffuse frontal LGGs who had undergone supratotal resection with awake surgery from January 2016 to November 2017. Results: The frontal aslant tract was identified as the functional boundary in 4 of 5 left frontal tumor cases (80%). Working memory impairments during dorsolateral prefrontal cortex stimulation with digit span and/or visual N-back tasks were detected in all 4 patients (100%) with right-frontal tumor. The neurocognitive outcomes were significantly improved after surgery, as shown by the mean Wechsler adult intelligence scale III scores for verbal intelligence quotient (P = 0.04) and verbal comprehension (P = 0.03) and the mean Wechsler memory scale-revised scores for generalized memory (P = 0.04) and delayed recall (P = 0.04). Conclusions: The results of the present study have provided evidence that awake mapping can enable the preservation of higher neurocognitive function, including working memory and spatial cognition in patients with nondominant right frontal tumors. Despite the small number of cases, our findings suggest the surgical benefit of awake surgery for supratotal resection of diffuse frontal LGGs.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 ファイル公開:2019-11-01
言語 ja
内容記述タイプ Other
出版者
言語 en
出版者 Elsevier
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.wneu.2018.07.193
ISSN(print)
収録物識別子タイプ PISSN
収録物識別子 1878-8750
書誌情報 en : World Neurosurgery

巻 119, p. 30-39, 発行日 2018-11
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