Minimally invasive awake craniotomy using steiner-lindquist stereotactic laser guidance

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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.departmentUludağ Üniversitesi/Tıp Fakültesi/Nöroşirürji Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Anestezi ve Reanimasyon Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0001-6639-5533tr_TR
dc.contributor.researcheridA-7338-2016tr_TR
dc.contributor.scopusid6603677218tr_TR
dc.contributor.scopusid6701663354tr_TR
dc.contributor.scopusid35484339700tr_TR
dc.contributor.scopusid35484622300tr_TR
dc.contributor.scopusid6603500567tr_TR
dc.contributor.scopusid35485721600tr_TR
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.en_US
dc.identifier.citationBekar, A. vd. (2009). "Minimally invasive awake craniotomy using steiner-lindquist stereotactic laser guidance". Minimally Invasive Neurosurgery, 52(4), 176-179.en_US
dc.identifier.endpage179tr_TR
dc.identifier.issn0946-7211
dc.identifier.issue4tr_TR
dc.identifier.pubmed19838971tr_TR
dc.identifier.scopus2-s2.0-70449435595tr_TR
dc.identifier.startpage176tr_TR
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.volume52tr_TR
dc.identifier.wos000271377400004tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherGeorge Thieme Verlagen_US
dc.relation.journalMinimally Invasive Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAwake craniotomyen_US
dc.subjectCerebral metastasisen_US
dc.subjectCerebral tumorsen_US
dc.subjectStereotactic surgeryen_US
dc.subjectSurgical resectionen_US
dc.subjectGlioma surgeryen_US
dc.subjectMotor cortexen_US
dc.subjectTumoren_US
dc.subjectGuideen_US
dc.subjectAstrocytomasen_US
dc.subjectMicrosurgeryen_US
dc.subjectStimulationen_US
dc.subjectSurvivalen_US
dc.subjectExtenten_US
dc.subjectNeurosciences & neurologyen_US
dc.subjectSurgeryen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeBrain hemorrhageen_US
dc.subject.emtreeBrain tumoren_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeCraniotomyen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeFunctional magnetic resonance imagingen_US
dc.subject.emtreeHospitalizationen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeMajor clinical studyen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeNeurologic examinationen_US
dc.subject.emtreeOperation durationen_US
dc.subject.emtreeParietal lobeen_US
dc.subject.emtreePostoperative perioden_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshBrainen_US
dc.subject.meshBrain neoplasmsen_US
dc.subject.meshCraniotomyen_US
dc.subject.meshFemaleen_US
dc.subject.meshGlioblastomaen_US
dc.subject.meshHumansen_US
dc.subject.meshLasersen_US
dc.subject.meshMagnetic resonance imagingen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshNeoplasm metastasisen_US
dc.subject.meshNeuronavigationen_US
dc.subject.meshPostoperative careen_US
dc.subject.meshPostoperative complicationsen_US
dc.subject.meshPreoperative careen_US
dc.subject.meshRetrospective studiesen_US
dc.subject.meshStereotaxic techniquesen_US
dc.subject.meshSurgical procedures, minimally invasiveen_US
dc.subject.meshTreatment outcomeen_US
dc.subject.meshWakefulnessen_US
dc.subject.scopusCraniotomy; Glioma; Transcranial Magnetic Stimulationen_US
dc.subject.wosClinical neurologyen_US
dc.subject.wosNeuroimagingen_US
dc.subject.wosSurgeryen_US
dc.titleMinimally invasive awake craniotomy using steiner-lindquist stereotactic laser guidanceen_US
dc.typeArticle
dc.wos.quartileQ3 (Surgery)en_US
dc.wos.quartileQ4en_US

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