INTRAOPERATIVE BRAIN MAPPING TECHNIQUES IN NEUROONCOLOGY
INTRAOPERATIVE BRAIN MAPPING TECHNIQUES IN NEUROONCOLOGY
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DOI：
10.1159/000098989
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发表时间：
1992-01-01
影响因子：
1.7
通讯作者：
OJEMANN, GA
中科院分区：
文献类型：
--
作者：
BERGER, MS;OJEMANN, GA
术中脑标测技术用于神经肿瘤学，以最大限度地扩大肿瘤切除范围和控制癫痫发作，并最大限度地减少手术并发症。皮层和皮层下下行运动通路的直接刺激映射将定位罗兰皮层、主导语言言语区和内囊、大脑脚和皮质脊髓束/前角细胞中的运动束。皮质电描记术可识别组织学上明显无肿瘤浸润的致癫痫区域。癫痫控制是最大的癫痫灶切除时，除了肿瘤病灶。
Intraoperative brain mapping techniques are utilized in neuro-oncology to maximize the extent of tumor resection and seizure control, and minimize the operative morbidity. Direct stimulation mapping of the cortex and subcortical descending motor pathways will localize the rolandic cortex, dominant language speech zones and motor tracts in the internal capsule, cerebral peduncle and corticospinal tract/anterior horn cells. Electrocorticography identifies epileptogenic areas that histologically are distinctly devoid of neoplastic infiltration. Seizure control is maximal when seizure foci are resected in addition to the tumor nidus.