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. 2013:2013:401359.
doi: 10.1155/2013/401359. Epub 2013 Apr 29.

Combined awake craniotomy with endoscopic port surgery for resection of a deep-seated temporal lobe glioma: a case report

Lance Bodily  1 , Arlan H Mintz, Johnathan Engh
Affiliations

Combined awake craniotomy with endoscopic port surgery for resection of a deep-seated temporal lobe glioma: a case report

Lance Bodily et al. Case Rep Med. 2013.

Abstract

The authors describe the combination of awake craniotomy and minimally invasive endoscopic port surgery to resect a high-grade glioma located near eloquent structures of the temporal lobe. Combined minimally invasive techniques such as these may facilitate deep tumor resection within eloquent regions of the brain, allowing minimum white matter dissection. Technical aspects of this procedure, a case outcome involving this technique, and the direction of further investigations for the utility of these techniques are discussed.

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Figures

Figure 1
Figure 1
Preoperative and postoperative images. (a) Preresection T1 axial MRI with contrast showing a temporal lesion with an estimated 5.0 cubic centimeter volume. (b) Immediate postresection T1 axial MRI with contrast showing a slight amount of residual enhancement at the anteromedial margin of the resection cavity. (Yellow arrow indicates residual tumor area not present in (c)). (c) The corresponding noncontrast enhanced T1 MRI image taken at the same time demonstrates that the posteromedial and lateral hyperintensities are in fact blood products and postoperative change rather than gross residual tumor. A 93.3% volumetric resection was achieved.
Figure 2
Figure 2
(a) View of the endoscopic port with dilator insertion and (b) surgical view through the endoscopic port.
See this image and copyright information in PMC

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