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How I do it? Gravity-assisted endoscopic cingulate gyrus glioma resection
Zixiao Yang1,2,3,4,5, Jianping Song6,7,8,9,10, Wei Zhu1,2,3,4,5
1Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, No. 12 Wulumuqi Zhong Road, Shanghai, 200040, China.
Acta Neurochirurgica
|February 17, 2021
Summary
This study showcases gravity-assisted endoscopic resection for cingulate gyrus gliomas, improving motor function while preserving critical brain areas. This minimally invasive technique offers a safer alternative for tumors near eloquent brain regions.
Area of Science:
- Neurosurgery
- Oncology
- Minimally Invasive Procedures
Background:
- The cingulate gyrus, a key component of the limbic system, is connected to various brain regions.
- Traditional transcortical approaches for cingulate gyrus gliomas carry a significant risk of postoperative hemiplegia.
Observation:
- A case of a patient with a cingulate gyrus glioma experiencing motor dysfunction is presented.
- The tumor was located near critical neurological structures, including the paracentral lobule, corticospinal tracts, and supplementary motor area.
Findings:
- A gravity-assisted, fully endoscopic resection of the cingulate gyrus glioma was performed.
- The procedure resulted in improved motor function for the patient.
- Crucial brain structures such as the paracentral lobule, corticospinal tracts, and supplementary motor area were preserved.
Implications:
- Gravity-assisted endoscopic resection is a valuable technique for treating dominant cingulate gyrus tumors.
- This approach minimizes the risk of neurological deficits associated with traditional surgical methods.
- It offers a safer and effective option for tumors situated within or near eloquent brain parenchyma.

