Transcorticosubcortical Approach for Left Posterior Mediobasal Temporal Region Gliomas: A Case Series and Anatomic Review of Relevant White Matter Tracts

Brown D. A., Hanalioglu Ş., Chaichana K., Duffau H.

WORLD NEUROSURGERY, vol.139, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 139
  • Publication Date: 2020
  • Doi Number: 10.1016/j.wneu.2020.04.147
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, EMBASE, Index Islamicus, MEDLINE, Veterinary Science Database
  • Keywords: Awake functional mapping, Inferior fronto-occipital fasciculus (IFOF), Inferior longitudinal fasciculus, Mesobasal temporal region, Optic radiation, Transcortical approach, SUPRACEREBELLAR TRANSTENTORIAL APPROACH, LOW-GRADE GLIOMAS, SELECTIVE AMYGDALOHIPPOCAMPECTOMY, LONGITUDINAL FASCICULUS, MICROSURGICAL ANATOMY, LATERAL VENTRICLE, LANGUAGE, BRAIN, SURGERY, LOBE
  • Hacettepe University Affiliated: Yes


BACKGROUND AND OBJECTIVE: The goal of this study is to show using 5 illustrative cases that the transcortical route for resection of mediobasal temporal region (MBTR) lesions is safe and effective when performed with awake functional mapping and knowledge of the relevant subcortical anatomy. Although several have been proposed, there is a paucity of reports on transcorticosubcortical approaches to these lesions, particularly in patients with posterior-superior extension. We present a case series of 5 patients with left posterior MBTR gliomas and summarize the relevant subcortical anatomy knowledge of what is a prerequisite for safe resection.