Extraoperative functional mapping and staged resection of supratentorial tumors near eloquent cortex in children. Pediatr Neurosurg 2009;45(3):175-80
Date
05/15/2009Pubmed ID
19440004DOI
10.1159/000218199Scopus ID
2-s2.0-65549158846 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
We present our technique for extraoperative functional mapping in awake children with supratentorial tumors near eloquent cortex. This technique may help optimize tumor resection and/or the functional outcome, especially when an awake craniotomy is not possible or in the setting of coincident seizures. After subdural electrode implantation, extraoperative functional mapping and seizure focus mapping were performed, followed by staged tumor resection. Gross total resection was achieved in 6 patients and subtotal resection in 2. No complications due to electrode placement or invasive monitoring were observed. Staged resection of pediatric brain tumors near the eloquent cortex appears safe, allows functional mapping in awake patients, and may assist in decisions between maximal tumor resection and optimal functional outcome.
Author List
Bollo RJ, Carlson C, Schevon C, Wisoff JH, Devinsky O, Weiner HLAuthor
Chad Carlson MD Professor in the Neurology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentBrain Mapping
Cerebral Cortex
Child
Child, Preschool
Electrodes, Implanted
Epilepsy
Female
Glioma
Humans
Magnetic Resonance Imaging
Male
Preoperative Care
Supratentorial Neoplasms
Wakefulness
