Acute functional reactivation of the language network during awake intraoperative brain mapping

被引：6

作者：

Spena, Giannantonio ^{[1
]}

Costi, Emanuele ^{[1
]}

Panciani, Pier Paolo ^{[1
]}

Roca, Elena ^{[1
]}

Migliorati, Karol ^{[1
]}

Fontanella, Marco Maria ^{[1
]}

机构：

[1] Univ Brescia, Dept Neurosci, Div Neurosurg, Brescia, Italy

来源：

NEUROCASE | 2015年 / 21卷 / 03期

关键词：

plasticity; functional MR imaging; brain mapping; glioma; awake surgery; TRACTOGRAPHY; FASCICULUS; RESECTION; SURGERY; APHASIA;

D O I：

10.1080/13554794.2014.910306

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Acute brain plasticity during resection of central lesions has been recently described. In the cases reported, perilesional latent networks, useful to preserve the neurological functions, were detected in asymptomatic patients. In this paper, we presented a case of acute functional reactivation (AFR) of the language network in a symptomatic patient. Tumor resection allowed to acutely restore the neurological deficit. Intraoperative direct cortical stimulation (DCS) and functional neuroimaging showed new epicentres of activation of the language network after tumor excision. DCS in awake surgery is mandatory to reveal AFR needful to improve the extent of resection preserving the quality of life.

引用

页码：403 / 407

页数：5

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