Publication:
Minimally invasive awake craniotomy using steiner-lindquist stereotactic laser guidance

dc.contributor.buuauthorBekar, Ahmet
dc.contributor.buuauthorBilgin, Hülya
dc.contributor.buuauthorKorfalı, Gülşen
dc.contributor.buuauthorKorfalı, Ender
dc.contributor.buuauthorKocaeli, Hasan
dc.contributor.buuauthorTaşkapılıoğlu, Özlem
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentNöroşirürji Ana Bilim Dalı
dc.contributor.departmentAnestezi ve Reanimasyon Ana Bilim Dalı
dc.contributor.orcid0000-0001-6639-5533
dc.contributor.researcheridA-7338-2016
dc.contributor.scopusid6603677218
dc.contributor.scopusid6701663354
dc.contributor.scopusid35484339700
dc.contributor.scopusid35484622300
dc.contributor.scopusid6603500567
dc.contributor.scopusid35485721600
dc.date.accessioned2022-04-22T07:01:26Z
dc.date.available2022-04-22T07:01:26Z
dc.date.issued2009-08
dc.description.abstractIntroduction: Awake craniotomy permits the continuous assessment of intraoperative neurological functions. In addition, stereotactic laser guidance aids in performing minimally invasive procedures related to the radical resection of lesions located in eloquent and non-eloquent brain regions. Methods: Between May 2000 and October 2006, 117 consecutive patients with various intracranial tumoral lesions underwent 141 resection procedures. The eloquent areas were determined with the aid of anatomic landmarks and/or functional MRI (fMRI) examinations. The resection of the lesions was performed under continuous neurological examination. In all cases, postoperative MRI was performed within 24-72 h. Results: Seventy-seven males and 40 females were included in this study. The mean age of the patients was 52.0 +/- 12.6 years. Most of the lesions were located within the parietal lobe. Of the lesions, 33 (23.4%) were located within the cortex, whereas 108 (76.5%) were subcortical. The most common pathologies were metastasis (70 cases) and glioblastome multiforme (27 cases). In 20 (14.2%) of the patients, fMRI was performed preoperatively. Of 21 patients with multiple lesions, 18 underwent 2 craniotomies and 3 underwent 3 craniotomies. The mean operation time was 72 +/- 0.3 min, and the mean hospital stay was 3.26 +/- 1.82 d. The average lesion size was 11.92 +/- 15.26 cm(3). In 7 cases (4.9%), the surgery caused either new neurological deficits or a worsening of the existing deficits; these deficits were permanent in 2 (1.4%) cases. One patient (0.7%) died due to the development of postoperative intracerebral hemorrhage. Conclusions: Awake craniotomy with the aid of stereotactic laser guidance is a safe procedure that assists in performing minimally invasive resection of lesions in eloquent and non-eloquent brain regions. Although direct intraoperative stimulation was not performed, detection of the functioning areas of the brain with fMRI decreased additional postoperative neurological deficits. Overall, this method decreased the operation time and hospital stay.
dc.identifier.citationBekar, A. vd. (2009). "Minimally invasive awake craniotomy using steiner-lindquist stereotactic laser guidance". Minimally Invasive Neurosurgery, 52(4), 176-179.
dc.identifier.endpage179
dc.identifier.issn0946-7211
dc.identifier.issue4
dc.identifier.pubmed19838971
dc.identifier.scopus2-s2.0-70449435595
dc.identifier.startpage176
dc.identifier.urihttps://doi.org/10.1055/s-0029-1239503
dc.identifier.urihttps://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0029-1239503
dc.identifier.urihttp://hdl.handle.net/11452/25994
dc.identifier.volume52
dc.identifier.wos000271377400004
dc.indexed.scopusScopus
dc.indexed.wosSCIE
dc.language.isoen
dc.publisherGeorge Thieme Verlag
dc.relation.journalMinimally Invasive Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAwake craniotomy
dc.subjectCerebral metastasis
dc.subjectCerebral tumors
dc.subjectStereotactic surgery
dc.subjectSurgical resection
dc.subjectGlioma surgery
dc.subjectMotor cortex
dc.subjectTumor
dc.subjectGuide
dc.subjectAstrocytomas
dc.subjectMicrosurgery
dc.subjectStimulation
dc.subjectSurvival
dc.subjectExtent
dc.subjectNeurosciences & neurology
dc.subjectSurgery
dc.subject.emtreeAdult
dc.subject.emtreeAged
dc.subject.emtreeArticle
dc.subject.emtreeBrain hemorrhage
dc.subject.emtreeBrain tumor
dc.subject.emtreeControlled study
dc.subject.emtreeCraniotomy
dc.subject.emtreeFemale
dc.subject.emtreeFunctional magnetic resonance imaging
dc.subject.emtreeHospitalization
dc.subject.emtreeHuman
dc.subject.emtreeMajor clinical study
dc.subject.emtreeMale
dc.subject.emtreeNeurologic examination
dc.subject.emtreeOperation duration
dc.subject.emtreeParietal lobe
dc.subject.emtreePostoperative period
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshBrain
dc.subject.meshBrain neoplasms
dc.subject.meshCraniotomy
dc.subject.meshFemale
dc.subject.meshGlioblastoma
dc.subject.meshHumans
dc.subject.meshLasers
dc.subject.meshMagnetic resonance imaging
dc.subject.meshMale
dc.subject.meshMiddle aged
dc.subject.meshNeoplasm metastasis
dc.subject.meshNeuronavigation
dc.subject.meshPostoperative care
dc.subject.meshPostoperative complications
dc.subject.meshPreoperative care
dc.subject.meshRetrospective studies
dc.subject.meshStereotaxic techniques
dc.subject.meshSurgical procedures, minimally invasive
dc.subject.meshTreatment outcome
dc.subject.meshWakefulness
dc.subject.scopusCraniotomy; Glioma; Transcranial Magnetic Stimulation
dc.subject.wosClinical neurology
dc.subject.wosNeuroimaging
dc.subject.wosSurgery
dc.titleMinimally invasive awake craniotomy using steiner-lindquist stereotactic laser guidance
dc.typeArticle
dc.wos.quartileQ3 (Surgery)
dc.wos.quartileQ4
dc.wos.quartileQ3
dc.wos.quartileQ4
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Nöroşirürji Ana Bilim Dalı
local.contributor.departmentTıp Fakültesi/Anestezi ve Reanimasyon Ana Bilim Dalı
local.indexed.atPubMed
local.indexed.atWOS
local.indexed.atScopus

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