Surgical Treatment of Low-grade Glioma on Functional Areas_West China Medical Journal

Authors：

 XIEFei

Department of Neurosurgery, the First People's Hospital of Ziyang, Ziyang, Sichuan 641300, P. R. China;

Corresponding author：

Keywords：

Functional areas; Low-grade glioma; Surgery; Treatment

DOI：

10.7507/1002-0179.20150187

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the surgical experiences of low-grade glioma on functional areas. Methods Fifty-four patients with low-grade glioma on functional areas were treated in our department from December 2009 to December 2012. We retrospectively analyzed their clinical data. Results Thirty-six cases were located preoperatively by diffusion tensor imaging, 13 patients underwent intraoperative B ultrasound tumor localization, and 5 underwent intraoperative wake-up anesthesia. Total resection of tumors was performed on 42 patients, subtotal resection on 10, and partial resection on 2, and no patient died during the operation. The follow-up ranged from 6 to 24 months averaging 12. There was no significant difference in Karnofsky performance scale before and after surgery (P>0.05). Conclusion The comprehensive application of various localization methods can protect function to the best advantage and resect tumor to the largest degree, and thus improves patients' quality of life.

Citation： XIEFei. Surgical Treatment of Low-grade Glioma on Functional Areas. West China Medical Journal, 2015, 30(4): 645-647. doi: 10.7507/1002-0179.20150187 Copy

1.	Azizi SA, Miyamoto C. Principles of treatment of malignant gliomas in adults:an overview[J]. J Neurovirol, 1998, 4(2):204-216.
2.	Duffau H, Capelle L, Sichez J, et al. Intra-perative direct electrical stimulations of the central nervous system:the Salpêtrière experience with 60 patients[J]. Acta Neurtchir(Wien), 1999, 141(11):1157-1167.
3.	Gumprecht H, Ebel GK, Auer DP, et al. Neuronavigation and functional MRI for surgery in patients with lesion in eloquent brain areas[J]. Minim Invasive Neurosurg, 2002, 45(3):151-153.
4.	Walker DG, Kaye AH. Low grade glial neoplasms[J]. J Clin Neurosci, 2003, 10(1):1-13.
5.	Mcgirt MJ, Chaichana KL, Gathinji MA, et al. Independent association of extent of resection with survival in patients with malignant brain astrocytoma[J]. J Neurosurg, 2009, 110(1):156-162.
6.	Brem SS, Bierman PJ, Black P, et al. Central nervous system cancers:Clinical Practice Guidelines in Oncology[J]. J Natl Compr Canc Netw, 2005, 3(5):644-690.
7.	Nabors LB, Ammirati M, Bierman PJ, et al. Central nervous system cancers[J]. J Natl Compr Canc Netw, 2013, 11(9):1114-1151.
8.	Brell M, Ibáñez J, Caral L, et al. Factors influencing surgical complications of intra-axial brain tumours[J]. Acta Neurochir (Wien), 2000, 142(7):739-750.
9.	张忠, 江涛, 谢坚, 等. 唤醒麻醉和术中功能定位切除语言区胶质瘤[J]. 中华神经外科杂志, 2007, 23(9):643-645.
10.	Chen X, Weigel D, Ganslandt O, et al. Diffusion tensor imaging and white matter tractography in patients with brainstem lesions[J]. Acta Neurochir (Wien), 2007, 149(11):1117-1131.
11.	Krishnan AP, Asher IM, Davis DA, et al. Evidence that Mr diffusion tensor imaging (tractography) predicts the natural history of regional progression in patients irradiated conformally for primary brain tumors[J]. Int J Radiat Oncol Biol Phys, 2008, 71(5):1553-1562.
12.	吴劲松, 周良辅, 洪汛宁, 等. 磁共振弥散张量成像在涉及锥体束的脑肿瘤神经导航术中的应用[J]. 中华外科杂志, 2003, 41(9):662-666.
13.	Keles GE, Lamborn KR, Berger MS. Coregistration accuracy and detection of brain shift using intraoperative sononavigation during resection of hemispheric tumors[J]. Neurosurgery, 2003, 53(3):556-562.
14.	Duffau H, Lopes M, Arthuis F, et al. Contribution of intraopertive electrical stimulations in surgery of low grade gliomas:a comparative study between two series without (1985-96) and with (1996-2003) functional mapping in the same institution[J]. J Neurol Neurosurg Psychiatry, 2005, 76(6):845-851.
15.	Kim SS, Mccutcheon IE, Suki D, et al. Awake craniotomy for brain tumors near eloquent cortex:correlation of intraoperative cortical mapping with neurological outcomes in 309 consecutive patients[J]. Neurosurgery, 2009, 64(5):836-845.

1. Azizi SA, Miyamoto C. Principles of treatment of malignant gliomas in adults:an overview[J]. J Neurovirol, 1998, 4(2):204-216.
2. Duffau H, Capelle L, Sichez J, et al. Intra-perative direct electrical stimulations of the central nervous system:the Salpêtrière experience with 60 patients[J]. Acta Neurtchir(Wien), 1999, 141(11):1157-1167.
3. Gumprecht H, Ebel GK, Auer DP, et al. Neuronavigation and functional MRI for surgery in patients with lesion in eloquent brain areas[J]. Minim Invasive Neurosurg, 2002, 45(3):151-153.
4. Walker DG, Kaye AH. Low grade glial neoplasms[J]. J Clin Neurosci, 2003, 10(1):1-13.
5. Mcgirt MJ, Chaichana KL, Gathinji MA, et al. Independent association of extent of resection with survival in patients with malignant brain astrocytoma[J]. J Neurosurg, 2009, 110(1):156-162.
6. Brem SS, Bierman PJ, Black P, et al. Central nervous system cancers:Clinical Practice Guidelines in Oncology[J]. J Natl Compr Canc Netw, 2005, 3(5):644-690.
7. Nabors LB, Ammirati M, Bierman PJ, et al. Central nervous system cancers[J]. J Natl Compr Canc Netw, 2013, 11(9):1114-1151.
8. Brell M, Ibáñez J, Caral L, et al. Factors influencing surgical complications of intra-axial brain tumours[J]. Acta Neurochir (Wien), 2000, 142(7):739-750.
9. 张忠, 江涛, 谢坚, 等. 唤醒麻醉和术中功能定位切除语言区胶质瘤[J]. 中华神经外科杂志, 2007, 23(9):643-645.
10. Chen X, Weigel D, Ganslandt O, et al. Diffusion tensor imaging and white matter tractography in patients with brainstem lesions[J]. Acta Neurochir (Wien), 2007, 149(11):1117-1131.
11. Krishnan AP, Asher IM, Davis DA, et al. Evidence that Mr diffusion tensor imaging (tractography) predicts the natural history of regional progression in patients irradiated conformally for primary brain tumors[J]. Int J Radiat Oncol Biol Phys, 2008, 71(5):1553-1562.
12. 吴劲松, 周良辅, 洪汛宁, 等. 磁共振弥散张量成像在涉及锥体束的脑肿瘤神经导航术中的应用[J]. 中华外科杂志, 2003, 41(9):662-666.
13. Keles GE, Lamborn KR, Berger MS. Coregistration accuracy and detection of brain shift using intraoperative sononavigation during resection of hemispheric tumors[J]. Neurosurgery, 2003, 53(3):556-562.
14. Duffau H, Lopes M, Arthuis F, et al. Contribution of intraopertive electrical stimulations in surgery of low grade gliomas:a comparative study between two series without (1985-96) and with (1996-2003) functional mapping in the same institution[J]. J Neurol Neurosurg Psychiatry, 2005, 76(6):845-851.
15. Kim SS, Mccutcheon IE, Suki D, et al. Awake craniotomy for brain tumors near eloquent cortex:correlation of intraoperative cortical mapping with neurological outcomes in 309 consecutive patients[J]. Neurosurgery, 2009, 64(5):836-845.

West China Medical Journal

Surgical Treatment of Low-grade Glioma on Functional Areas

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content