Advances in the surgical treatment of speech-eloquent gliomas

Nathan Kong*, Matthew Tate

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Contemporary glioma surgery follows the maxim of maximal safe resection, with the goal of cytoreduction balanced by maintenance of neurologic function. Consistent data has shown that gross total resection, defined as complete removal of overt tumor identified on MRI, results in decreased 1- and 2-year mortality and 6- and 12-month disease-free progression as compared to subtotal resections. On the other hand, sparing function is of high priority for providers and patients as preservation of motor, visual, and language functions significantly improves the quality of life and even extensive surgery is not curative. Brain mapping serves as the tool by which neurosurgeons can optimize this onco-functional balance.

Original languageEnglish (US)
Title of host publicationNew Techniques for Management of 'Inoperable' Gliomas
PublisherElsevier
Pages47-61
Number of pages15
ISBN (Electronic)9780128136348
ISBN (Print)9780128136331
DOIs
StatePublished - Aug 30 2019

Keywords

  • Brain
  • Cytoreduction
  • Glioma surgery
  • Gyrus
  • Language network
  • Neurosurgeon

ASJC Scopus subject areas

  • Medicine(all)

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