Techniques for Open Surgical Resection of Brain Metastases

Autor: Wang, Joshua L., Elder, J. Bradley
Zdroj: Neurosurgery Clinics of North America; October 2020, Vol. 31 Issue: 4 p527-536, 10p
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.
Databáze: Supplemental Index