在清醒手术期间,与移除负运动区域相关的局部和症状
Shunsuke Tsuzuki1,2, Yoshihiro Muragaki1,2,3, Takashi Maruyama1,2
1Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, Japan.
British journal of neurosurgery
|October 19, 2023
概括
在清醒手术期间进行皮质映射可以识别负运动区域 (NMA),通常位于前中心线以下. 由于瘤入侵而导致的NMA切割并没有导致持久的问题,随着时间的推移,语音功能得到了改善.
科学领域:
- 神经外科 神经外科
- 神经生理学 神经生理学
- 绘制大脑地图 绘制大脑地图
背景情况:
- 在清醒外科手术中,皮层映射可以识别负运动区域 (NMA).
- 区分NMA与前额语言区域 (FLA) 是一个挑战,因为类似的语音逮捕反应.
- 目前尚不完全了解NMA的确切位置和功能.
研究的目的:
- 为了准确地绘制NMA,当它位于不同于FLA的环节时.
- 描述NMA移除后的临床症状.
主要方法:
- 分析了18个醒着手术病例 (2000-2013年),其中NMA和FLA处于不同的手术中.
- 删除前和后的皮质映射数据的3D建模.
- 在因瘤入侵而导致的NMA切除的情况下,对症状的调查和社会康复.
主要成果:
- 在与FLA.不同时,NMA始终局部地位于前中心环的下部.
- 与瘤一起切除NMA导致了暂时的言语无力.
- 患者在几个月内表现出症状改善,使得他们能够恢复工作.
结论:
- 在通常情况下,NMA位于前中心环的下面,在可以通过清醒映射将其与FLA区分出来的情况下.
- 切除NMA,即使是必要的瘤去除,不会导致严重的长期缺陷.
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