Role of functional magnetic resonance imaging during removal of tumors in brain eloquent areas
Abstract
Objective: to estimate the role of functional magnetic resonance imaging (fMRI) in preoperative planning at patients with tumors in eloquent brain areas.
Material and methods: this clinical case describes the patient with the tumor in right precentral gyrus. The mapping of motor cortex was performed as preoperative examination using fMRI and navigation transcranial magnetic stimulation (TMS).
Results: it was revealed that tumor is very close to motor cortex of left hand. The removal of tumor was performed using neurophysiological control taking into account the high risk of moto deficit in postoperative period.
Conclusion: usage of fMRI during pre-and intraoperative planning allows performing the maximal resection with minimal impairment of brain functions.
About the Authors
A. S. Tokarev
ГБУЗ «НИИ скорой помощи им. Н. В. Склифосовского Департамента здравоохранения г. Москвы»
Russian Federation
Russian Federation
S. A. Chuvilin
ГБУЗ «НИИ скорой помощи им. Н. В. Склифосовского Департамента здравоохранения г. Москвы»
Russian Federation
Russian Federation
V. N. Stepanov
ГБУЗ «НИИ скорой помощи им. Н. В. Склифосовского Департамента здравоохранения г. Москвы»
Russian Federation
Russian Federation
V. A. Rak
ГБУЗ «НИИ скорой помощи им. Н. В. Склифосовского Департамента здравоохранения г. Москвы»
Russian Federation
Russian Federation
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Review
For citations:
Tokarev A.S., Chuvilin S.A., Stepanov V.N., Rak V.A. Role of functional magnetic resonance imaging during removal of tumors in brain eloquent areas. Russian journal of neurosurgery. 2017;(3):64-69. (In Russ.)
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