A Case of High-Grade Glioma in an Eloquent Area Treated with Awake Craniotomy in an 85-year-old Patient
An 85-year-old woman presented with aphasia due to an occupying lesion in the left frontal lobe near the language area. Complete resection of the contrast-enhancing lesion was performed under awake conditions. The pathological diagnosis was anaplastic astrocytoma, and postoperative radiochemotherapy...
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Published in | Acta medica Okayama Vol. 77; no. 3; p. 335 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Japan
01.06.2023
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Subjects | |
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Abstract | An 85-year-old woman presented with aphasia due to an occupying lesion in the left frontal lobe near the language area. Complete resection of the contrast-enhancing lesion was performed under awake conditions. The pathological diagnosis was anaplastic astrocytoma, and postoperative radiochemotherapy was administered. Awake surgery is a useful technique to reduce postoperative neurological sequelae and to maximize surgical resection. Although the patient was elderly, which is generally considered high risk, she did not have any severe neurological deficits and had a good outcome. Even in the extreme elderly, awake surgery can be useful for gliomas in language cortices. |
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AbstractList | An 85-year-old woman presented with aphasia due to an occupying lesion in the left frontal lobe near the language area. Complete resection of the contrast-enhancing lesion was performed under awake conditions. The pathological diagnosis was anaplastic astrocytoma, and postoperative radiochemotherapy was administered. Awake surgery is a useful technique to reduce postoperative neurological sequelae and to maximize surgical resection. Although the patient was elderly, which is generally considered high risk, she did not have any severe neurological deficits and had a good outcome. Even in the extreme elderly, awake surgery can be useful for gliomas in language cortices. |
Author | Date, Isao Fujii, Kentaro Hirano, Shuichiro Kurozumi, Kazuhiko |
Author_xml | – sequence: 1 givenname: Kentaro surname: Fujii fullname: Fujii, Kentaro organization: Department of Neurological Surgery, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences – sequence: 2 givenname: Shuichiro surname: Hirano fullname: Hirano, Shuichiro organization: Department of Neurological Surgery, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences – sequence: 3 givenname: Kazuhiko surname: Kurozumi fullname: Kurozumi, Kazuhiko organization: Department of Neurological Surgery, Hamamatsu University School of Medicine, University Hospital – sequence: 4 givenname: Isao surname: Date fullname: Date, Isao organization: Department of Neurological Surgery, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37357636$$D View this record in MEDLINE/PubMed |
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Snippet | An 85-year-old woman presented with aphasia due to an occupying lesion in the left frontal lobe near the language area. Complete resection of the... |
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SubjectTerms | Aged Aged, 80 and over Brain Mapping - methods Brain Neoplasms - diagnosis Brain Neoplasms - pathology Brain Neoplasms - surgery Craniotomy Female Glioma - pathology Glioma - surgery Humans Monitoring, Intraoperative - methods Wakefulness |
Title | A Case of High-Grade Glioma in an Eloquent Area Treated with Awake Craniotomy in an 85-year-old Patient |
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