Journal
ACTA NEUROCHIRURGICA
Volume 163, Issue 5, Pages 1323-1326Publisher
SPRINGER WIEN
DOI: 10.1007/s00701-021-04741-2
Keywords
Cingulate gyrus; Endoscope; Glioma; Surgery
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Funding
- Shanghai Rising-Star Program [18QA1400900]
- CAMS Innovation Fund for Medical Sciences (CIFMS) [2019-I2M-5-008]
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This report presents a case of cingulate gyrus glioma treated with a gravity-assisted, fully endoscopic resection technique, which successfully removed the tumor, improved motor dysfunction in the patient, and preserved important brain functional areas. This case demonstrates the value of gravity-assisted endoscopic resection in dominant cingulate gyrus tumors surrounded by eloquent parenchyma.
Background The cingulate gyrus is part of the limbic system with extensive connectivity to different anatomical and functional areas. The traditional transcortical approach for a cingulate gyrus glioma contains high risk of transient or even irreversible postoperative hemiplegia. Method We present a case of gravity-assisted, fully endoscopic resection of a cingulate gyrus glioma with improvement of motor dysfunction while preserving the paracentral lobule, corticospinal tracts, and supplementary motor area. Conclusion This case demonstrates the value of gravity-assisted endoscopic resection in the dominant cingulate gyrus tumor which is surrounded by eloquent parenchyma.
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