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Klinische Neurophysiologie 2019; 50(04): 220-226
DOI: 10.1055/a-1009-5386
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Kontinuierliches subkortikales Mapping zur Überwachung der Pyramidenbahn bei der Entfernung von motorisch eloquent gelegenen Hirntumoren

Continuous Dynamic Mapping to Preserve the Corticospinal Tract During Surgery of Motor Eloquent Brain Tumors
Kathleen Seidel
1   Inselspital, Department of Neurosurgery, Bern University Hospital, Bern, Switzerland
,
Philippe Schucht
1   Inselspital, Department of Neurosurgery, Bern University Hospital, Bern, Switzerland
,
Jürgen Beck
2   Department of Neurosurgery, University of Freiburg, Freiburg
,
Andreas Raabe
1   Inselspital, Department of Neurosurgery, Bern University Hospital, Bern, Switzerland
› Author Affiliations
Further Information

Publication History

Publication Date:
07 November 2019 (online)

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Zusammenfassung

Die moderne neurochirurgische Onkologie verfolgt das Konzept der maximalen Tumorentfernung mit gleichzeitiger Funktionserhaltung. Dies ist bei Gliomen eine Herausforderung, da Tumorgrenzen nicht immer sichtbar sind und anatomische Landmarken verschoben sein können. Im folgenden Artikel werden intraoperative neurophysiologische Methoden zur Lokalisation und Überwachung des Primär Motorischen Kortex und der Pyramidenbahn in der supratentoriellen Tumorchirurgie diskutiert.

Abstract

In modern neuro-oncological surgery, the key concept is maximal but safe tumor resection. However, this is a surgical challenge as tumor borders may be invisible, and anatomical landmarks might be distorted. In this review, we discuss intraoperative neurophysiological monitoring and mapping methods to identify the primary motor cortex and corticospinal tract in supratentorial tumor surgery.

Schlüsselwörter

Elektrische Stimulation - Intraoperatives Neuromonitoring - Motorisch Evozierte Potentiale - Pyramidenbahn - Subkortikale Stimulation

Key words

Corticospinal tract - electrical stimulation - intraoperative neuromonitoring - motor evoked potential - subcortical mapping
 

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