PDF herunterladen
CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2017; 06(01): 041-043
DOI: 10.1055/s-0036-1585461
Techniques in Neurosurgery
Thieme Medical and Scientific Publishers Private Ltd.

Awake Craniotomy for Left Insular Low-Grade Glioma Removal on a Patient with Learning Disabilities

Andrej Vranic
1   Department of Neurosurgery, Fondation Ophtalmologique A. de Rothschild, Paris, France
,
Blaz Koritnik
2   Department of Neurophysiology, University Medical Centre, Ljubljana, Slovenia
,
Jasmina Markovic-Bozic
3   Department of Anesthesiology, University Medical Centre, Ljubljana, Slovenia
› Institutsangaben
Weitere Informationen

Publikationsverlauf

01. März 2016

20. April 2016

Publikationsdatum:
10. Februar 2017 (online)

   Lizenzen und Reprints

Abstract

Introduction Low-grade gliomas (LGG) are slow-growing primary brain tumors in adults, with high tropism for eloquent areas. Standard approach in treatment of LGG is awake craniotomy with intraoperative cortical mapping — a method which is usually used on adult and fully cooperative patients.

Case Report We present the case of a patient with learning disabilities (PLD) who was operated for left insular LGG awake craniotomy, and intraoperative cortical mapping were performed and the tumor was gross totally removed.

Conclusion Awake surgery for left insular LGG removal is challenging; however, it can be performed safely and successfully on PLD.

Keywords

low-grade glioma - awake craniotomy - learning disability
 

  • References

  • 1 Capelle L, Fontaine D, Mandonnet E. , et al; French Réseau d'Étude des Gliomes. Spontaneous and therapeutic prognostic factors in adult hemispheric World Health Organization Grade II gliomas: a series of 1097 cases: clinical article. J Neurosurg 2013; 118 (06) 1157-1168
    CrossrefPubMedGoogle Scholar
  • 2 Jakola AS, Myrmel KS, Kloster R. , et al. Comparison of a strategy favoring early surgical resection vs a strategy favoring watchful waiting in low-grade gliomas. JAMA 2012; 308 (18) 1881-1888
    CrossrefPubMedGoogle Scholar
  • 3 Duffau H. A new philosophy in surgery for diffuse low-grade glioma (DLGG): oncological and functional outcomes. Neurochirurgie 2013; 59 (01) 2-8
    CrossrefPubMedGoogle Scholar
  • 4 Hervey-Jumper SL, Li J, Lau D. , et al. Awake craniotomy to maximize glioma resection: methods and technical nuances over a 27-year period. J Neurosurg 2015; 123 (02) 325-339
    CrossrefPubMedGoogle Scholar
  • 5 Ogren K, Sjöström S, Bengtsson NO. The unknown history of lobotomy: women, children and idiots were lobotomized [in Swedish]. Lakartidningen 2000; 97 (30–31): 3395-3398
    PubMedGoogle Scholar
  • 6 Balogun JA, Khan OH, Taylor M. , et al. Pediatric awake craniotomy and intra-operative stimulation mapping. J Clin Neurosci 2014; 21 (11) 1891-1894
    CrossrefPubMedGoogle Scholar
  • 7 Marks L, Adler N, Blom-Reukers H, Elhorst JH, Kraaijenhagen-Oostinga A, Vanobbergen J. Ethics on the dental treatment of patients with mental disability: results of a Netherlands - Belgium survey. J Forensic Odontostomatol 2012; 30 (Suppl. 01) 21-28
    PubMedGoogle Scholar
  • 8 Erickson KM, Cole DJ. Anesthetic considerations for awake craniotomy for epilepsy and functional neurosurgery. Anesthesiol Clin 2012; 30 (02) 241-268
    CrossrefPubMedGoogle Scholar
  • 9 Conte V, Baratta P, Tomaselli P, Songa V, Magni L, Stocchetti N. Awake neurosurgery: an update. Minerva Anestesiol 2008; 74 (06) 289-292
    PubMedGoogle Scholar
  • 10 Ponnudurai RN, Clarke-Moore A, Ekulide I. , et al. A prospective study of bispectral index scoring in mentally retarded patients receiving general anesthesia. J Clin Anesth 2010; 22 (06) 432-436
    CrossrefPubMedGoogle Scholar
  • 11 Shields WD. Management of epilepsy in mentally retarded children using the newer antiepileptic drugs, vagus nerve stimulation, and surgery. J Child Neurol 2004; 19 (Suppl. 01) S58-S64
    CrossrefPubMedGoogle Scholar