Authors: R. Bartoš1, D. Bejšovec2, A. Malucelli1, J. Prokšová3, J. Lodin1, Š. Čapek4, M. Sameš1 Authors - sphere of activity: 1 Neurochirurgická klinika UJEP a Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z., 2 KAPIM – Anesteziologická klinika UJEP a Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z., 3 Rehabilitační oddělení, Logopedie, Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z., 4 Department of Neurosurgery, University of Virginia, Charlottesville, Virginia, USA Article: Cesk Slov Neurol N 2017; 80/113(2): 220-223 DOI: 10.14735/amcsnn2017220 Category: Case Report Number of articles displayed: 15x PDF PDF print print post comment post comment previous article zobrazit obsah show contents next article Summary Background: Lateral or supine positions are the traditional positions for cranial tumor resections performed with an 'awake' component. These positions are used effectively for patients with tumors adjacent to speech centers or located in the superior frontal or precentral gyrus respectively. However, these may be unsatisfactory for tumors in a close proximity to the parieto-occipital region. In this case report, we describe 'awake' surgery performed on a patient in semisitting position. Case description: A 57-year-old patient suffered second recurrence of a glioblastoma multiforme tumor with subcortical invasion of the postcentral gyrus. Due to a high risk of severe neurological deficit, it was decided to perform an awake surgery with the semisitting position providing the best exposure to the lesion and the pyramidal tract. The pyramidal tract of the patient was mapped using motor responses to regular stimuli during which the surgeon recected the tumor. The patient was fully cooperative throughout the procedure and subjectively described the semisitting position as comfortable. Postoperatively, the patient showed no signs of new neurological deficits. Planned re-radiation therapy was not performed. Conclusion: This clinical case demonstrates successful use of the semisitting position in 'awake' surgery and we recommend considering its use for tumors in previously challenging locations, such as the lower parietal lobules or postcentral gyrus. This position could also be used during surgeries involving visual pathways mapping. Key words: semisitting position – 'awake' surgery – glioma – parietal lobe – pyramidal tract – cortical stimulation mapping The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study. The Editorial Board declares that the manuscript met the ICMJE 'uniform requirements' for biomedical papers. Rate article: Complete evaluation of the article: 0/5, evaluated 0x Read more Assessment of Prospective Memory – a Validity Study of Memory for Intentions Screening Test Source: Czech and Slovak Neurology and Neurosurgery The Reasons and the Process of Amendment of the Czech Addenbrooke’s Cognitive Examination (ACE-CZ) Source: Czech and Slovak Neurology and Neurosurgery Amendment of the Czech Addenbrooke’s Cognitive Examination (ACE-CZ) Source: Czech and Slovak Neurology and Neurosurgery The Bristol Activities of Daily Living Scale BADLS-CZ for the Evaluation of Patients with Dementia Source: Czech and Slovak Neurology and Neurosurgery Transient Ischemic Attack and Minor Stroke Management Source: Czech and Slovak Neurology and Neurosurgery Cognition and Hemodynamics after Carotid Endarterectomy for Asymptomatic Stenosis Source: Czech and Slovak Neurology and Neurosurgery Decubitus as a Cause of Death even in the 21st Century Source: Czech and Slovak Neurology and Neurosurgery Reader discussion Enter discussion Open Journal System Subscription Subscribe the Journal The subscription grants you full access to all the articles. further information Issue No.: 2 / 2017 show contents Year 2017 Year 2016 Year 2015 Year 2014 Year 2013 Year 2012 Year 2011 Year 2010 Year 2009 Year 2008 Year 2007 Old archive more Most read Neurorehabilitation of Sensorimotor Function after Spinal Cord Injury | views: 737 Pre-motor and Non-motor Symptoms of Parkinson’s Disease – Taxonomy, Clinical Manifestation and Neuropathological Correlates | views: 665 Gliomas of the Limbic and Paralimbic System, Technique and Results of Resections | views: 527 Three Times of the Clock Drawing Test Rated with BaJa Scoring in Patients with Early Alzheimer‘s Disease | views: 491 Transient Ischemic Attack and Minor Stroke Management | views: 455
| Autor: | Robert Bartoš, D. Bejšovec, Alberto Malucelli, J. Prokšová, J. Lodin, Štěpán Čapek, Martin Sameš |
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| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Česká a slovenská neurologie a neurochirurgie. :220-223 |
| ISSN: | 1802-4041 1210-7859 |
| DOI: | 10.14735/amcsnn2017220 |
| Databáze: | OpenAIRE |
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