![]() ![]() ![]() Metellus P, Pallud J, Ram Z, Watts C, Westphal M (2020) Surgery in brain metastasis management: therapeutic, diagnostic, and strategic considerations. Kamp MA, Rapp M, Slotty PJ, Turowski B, Sadat H, Smuga M, Dibué-Adjei M, Steiger H-J, Szelényi A, Sabel M (2015) Incidence of local in-brain progression after supramarginal resection of cerebral metastases. Kamp MA, Dibué M, Niemann L, Reichelt DC, Felsberg J, Steiger H-J, Szelényi A, Rapp M, Sabel M (2012) Proof of principle: supramarginal resection of cerebral metastases in eloquent brain areas. Herbet G, Rigaux-Viodé O, Moritz-Gasser S (2017) Peri- and intraoperative cognitive and language assessment for surgical resection in brain eloquent structures. Groshev A, Padalia D, Patel S, Garcia-Getting R, Sahebjam S, Forsyth PA, Vrionis FD, Etame AB (2017) Clinical outcomes from maximum-safe resection of primary and metastatic brain tumors using awake craniotomy. ĭuffau H (2018) Diffuse low-grade glioma, oncological outcome and quality of life: a surgical perspective. World Neurosurg 120:e1128–e1135ĭe Benedictis A, Moritz-Gasser S, Duffau H (2010) Awake mapping optimizes the extent of resection for low-grade gliomas in eloquent areas. Lancet Oncol 18(8):1049–1060Ĭhua TH, See AAQ, Ang BT, King NKK (2018) Awake craniotomy for resection of brain metastases: a systematic review. Massonīrown PD, Ballman KV, Cerhan JH, Anderson SK, Carrero XW, Whitton AC, Greenspoon J, Parney IF, Laack NNI, Ashman JB, Bahary JP, Hadjipanayis CG, Urbanic JJ, Barker FG II, Farace E, Khuntia D, Giannini C, Buckner JC, Galanis E, Roberge D (2017) Postoperative stereotactic radiosurgery compared with whole brain radiotherapy for resected metastatic brain disease (NCCTG N107C/CEC♳): a multicentre, randomised, controlled, phase 3 trial. īarbizet J, Duizabo P (1985) Abrégés de médecine. Awake craniotomy should be considered to optimize outcomes in brain metastases in eloquent areas.Īrita H, Narita Y, Miyakita Y, Ohno M, Sumi M, Shibui S (2014) Risk factors for early death after surgery in patients with brain metastases: reevaluation of the indications for and role of surgery. Function-based resection under awake conditions preserving the brain connectivity is feasible and safe in the specific population of solitary brain metastasis patients and allows for high resection rates within eloquent brain areas while preserving the overall and neurological condition of the patients. At three months postoperative months, none of the patients had worsening of their neurological condition or uncontrolled seizures, three patients had an improvement in their seizure control, and seven patients had a Karnofsky Performance Status score increase ≥10 points. A total resection was performed in 18 cases (90%, including 10 supramarginal resections), and a partial resection was performed in two cases (10%). ![]() The case-matched analysis showed that intraoperative and postoperative events were similar, except for a shorter duration of the surgery ( p<0.001) and of the awake phase ( p<0.001) in the metastasis group. A positive functional mapping was achieved at both cortical and subcortical levels, allowing for a function-based resection in all patients. Intraoperatively, all patients were cooperative no obstacles precluded the procedure from being performed. Case matching (1:1) criteria between metastasis group and control group (high-grade gliomas) are sex, tumor location, tumor volume, preoperative Karnofsky Performance Status score, age, and educational level. Inclusion criteria are adult patients, solitary brain metastasis, supratentorial location within eloquent areas, and function-based awake resection. Retrospective, observational, single-institution case-control study (2014-2019). To assess feasibility and safety of function-based resection under awake conditions for solitary brain metastasis patients. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |