[Microneurosurgical treatment for gliomas located in lateral fissure area].
OBJECTIVE
It has been generally recognized that extensive resection for gliomas is directly associated with better prognosis of the patients. However, some tumors in functional area are not easy to be radically resected and neurological deficiency could be resulted by surgery. This study was designed to investigate whether gliomas located in lateral fissure area could be radically resected without neurological deficiency.


METHODS
There were 22 gliomas located in lateral fissure area underwent microsurgical resection. The main branches of middle cerebral artery were preserved and the patients, if any neurological disfunction occurrence, were treated accordingly.


RESULTS
All 22 gliomas were totally or subtotally resected using microneurosurgical technique. In 7 cases the reserved functional vessels which pass through tumor mass, look like "bridge" after tumor resection. Six patients resulted in motor disfunction following surgery, in which 5 cases were recovered and KPS reached 70 after 6 months.


CONCLUSIONS
Gliomas located in lateral fissure area could be radically resected under microscope resulting no neurological deficiency, if any, will recover.
Mu
Yong-gao
YG
Department of Neurosurgery, Cancer Center, Sun Yat-sen University, Guangzhou 510060, P. R. China.
Zhang
Xiang-heng
XH
Pan
Li-xiong
LX
Chen
Zhong-ping
ZP
D000293:Adolescent; D000328:Adult; D000368:Aged; D001808:Blood Vessels / Q000503:physiopathology; D001921:Brain / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D002648:Child; D005260:Female; D005910:Glioma / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods* / Q000592:standards; D011379:Prognosis