Brain mapping techniques to maximize resection, safety, and seizure control in children with brain tumors.
Brain mapping techniques to maximize resection, safety, and seizure control in children with brain tumors.
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脑图技术可最大限度地实现脑肿瘤儿童的切除、安全性和癫痫发作控制。
DOI：
10.1097/00006123-198911000-00015
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发表时间：
1989
期刊：
影响因子：
4.8
通讯作者：
Lettich,E
中科院分区：
文献类型：
--
作者：
Berger,MS;Kincaid,J;Ojemann,GA;Lettich,E
：术中脑测绘技术用于定位幕上脑肿瘤儿童的语言皮层、感觉运动通路和癫痫病灶。除了皮质电图之外，直接皮质和皮质下刺激的方法使我们能够最大限度地切除肿瘤，最大限度地降低发病率，并根除总是邻近但不累及肿瘤巢的致癫痫区域。根据术前神经学或放射学检查，测试儿童的语言定位变化很大，并且在解剖学上是不可预测的。因此，生理绘图技术似乎是安全、可靠的，并且对于儿科人群中位于或邻近大脑功能区的肿瘤的手术非常有用。(Neurosurgery 25: 786-792, 1989)
: Intraoperative brain mapping techniques were used to localize language cortex, sensorimotor pathways, and seizure foci in children with supratentorial brain tumors. The methods of direct cortical and subcortical stimulation, in addition to electrocorticography, enabled us to maximize tumor resection, minimize morbidity, and eradicate epileptogenic zones which were always adjacent to, but not involving, the tumor nidus. Language localization was found to be quite variable in the children tested and anatomically unpredictable based on the preoperative neurological or radiological examination. Physiological mapping techniques, therefore, appear to be safe, reliable, and very useful for operations on tumors located within or adjacent to eloquent brain regions in the pediatric population.(Neurosurgery 25: 786-792, 1989)