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Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Related Experiment Video

Updated: Feb 20, 2026

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
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Factors Associated With Postoperative Functional Outcome in Rolandic and Perirolandic Metastasis Resection.

Eric A Goethe1,2, Rasheed Zakaria1, Subhiksha Srinivasan1

  • 1Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Operative Neurosurgery (Hagerstown, Md.)
|February 18, 2026
PubMed
Summary
This summary is machine-generated.

Resecting brain metastases in the motor region is feasible, with most patients maintaining or improving function. Factors like tumor location and preoperative KPS influence outcomes, guiding surgical decisions.

Keywords:
Brain metastasisFunctional outcomeIntraoperative mappingMelanomaMicrosurgical resectionNeuromonitoringPrecentral gyrusRehabilitation

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Area of Science:

  • Neurosurgery
  • Oncology
  • Neurology

Background:

  • Surgery is vital for brain metastases survival and independence.
  • Resection of motor strip metastases presents unique challenges due to functional decline risks.

Purpose of the Study:

  • Identify factors influencing functional outcomes after motor strip metastasis resection.
  • Inform surgical decision-making for these challenging cases.

Main Methods:

  • Retrospective chart review of 85 patients undergoing craniotomy for rolandic/perirolandic metastasis (2008-2020).
  • All patients had motor mapping techniques during resection.
  • Data collected included demographics, clinical factors, and resection techniques.

Main Results:

  • Gross total resection achieved in 96.5% of patients.
  • Prolonged hospital stay associated with hemorrhagic tumors, low preoperative KPS, rolandic location, and preoperative weakness.
  • Postoperative Karnofsky Performance Scale (KPS) stable/improved in 76.5%; non-home discharge in 31.8%.

Conclusions:

  • Resection of motor region metastases is achievable with good functional outcomes.
  • High rates of resection and low risk of permanent motor function worsening observed.
  • Factors like age, KPS, tumor location, and depth influence discharge disposition.