PDF(Pubmed)
Abstract：
Stereotactic navigation and functional magnetic resonance imaging (fMRI) are increasingly used as important tools for intraoperative guidance and preoperative mapping for lesions in eloquent areas. We report a case in which a WHO grade II oligodendroglioma in Broca\'s area with functional activation was successfully resected with the support of blood-oxygen-level-dependent imaging (BOLD)-fMRI mapping in a patient who refused an awake craniotomy. This case highlights key principles of tumor surgery navigation. Specifically, it calls into question the utility of awake craniotomy in this modern era. Ultimately, fMRI is an important tool for tumor resections and can limit the need for more expensive or invasive measures.
摘要：
立体定向导航和功能磁共振成像（fMRI）越来越多地被用作术中指导和术前映射的重要工具。我们报告了一例病例，在拒绝清醒开颅手术的患者中，在血氧水平依赖性成像（BOLD）-fMRI映射的支持下，成功切除了具有功能激活的Broca区WHOII级少突胶质细胞瘤。这个案例突出了肿瘤手术导航的关键原则。具体来说,它质疑清醒开颅术在现代时代的实用性。最终,功能磁共振成像是肿瘤切除的重要工具，可以限制对更昂贵或侵入性措施的需求。
