Techniques for Open Surgical Resection of Brain Metastases.
| Autor: | Wang JL; Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Doan Hall N1004, 410 West 10th Avenue, Columbus, OH 43210, USA. Electronic address: joshua.wang@osumc.edu., Elder JB; Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Doan Hall N1004, 410 West 10th Avenue, Columbus, OH 43210, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Neurosurgery clinics of North America [Neurosurg Clin N Am] 2020 Oct; Vol. 31 (4), pp. 527-536. Date of Electronic Publication: 2020 Aug 14. |
| DOI: | 10.1016/j.nec.2020.06.003 |
| Abstrakt: | Brain metastases are the most common intracranial tumor and a leading cause of morbidity and mortality for patients with systemic cancer. En bloc surgical resection of brain metastases improves survival, local recurrence rates, and functional independence in patients with up to three metastases and controlled extracranial disease. Modern techniques and technologies provide the neurosurgeon with minimally invasive approaches, such as keyhole craniotomies and tubular retractors. Preoperative planning for tumors located in eloquent regions includes mapping with functional MRI and diffusion tensor imaging, and intraoperative mapping and monitoring with electrophysiologic techniques under general or awake anesthesia to preserve normal neurologic function. Competing Interests: Disclosure The authors have nothing to disclose. (Copyright © 2020 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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