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Left perisylvian tumor surgery aided by TMS language mapping in a 6-year-old boy: case report
Tizian Rosenstock1, Thomas Picht2, Heike Schneider2
1Department of Neurosurgery, Charité - Universitäsmedizin Berlin, corporate member of Freie Universität Berlin, and Berlin Institute of Health, Charité University Medicine, Charitéplatz 1, 10117, Berlin, Germany. tizian.rosenstock@charite.de.
Background:
Awake surgery to preserve language function in young children is challenging, therefore reliable non-invasive work-up of language functional anatomy is needed to preserve language function at any cost. Furthermore, there are obvious limitations of an awake craniotomy with direct stimulation on a child.
Case Report:
A 6-year-old boy with a low-grade glioma of the left temporal lobe suffering from epileptic seizures underwent surgery, guided by preoperative transcranial magnetic stimulation (TMS) language mapping and consecutive DTI fiber tracking.
Discussion And Conclusion:
We report successful surgery of a language eloquent brain tumor in a young child based on TMS mapping and DTI fiber tracking alone. Surgical treatment of left-sided perisylvian tumors in children is discussed.
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