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논문 기본 정보

자료유형
학술저널
저자정보
Yuma Yano (Departments of Neurosurgery ara Medical University, Kashihara, Japan / Department of Neurosurgery, Ohnishi Neurologic Center, Akashi, Japa) Ryosuke Matsuda (Department of Neurosurgery, Nara Medical University, Kashihara, Japan) Fumi Okada (Diagnostic Pathology, Nara Medical University, Kashihara, Japan) Maiko Takeda (Diagnostic Pathology, Nara Medical University, Kashihara, Japan) Ryosuke Maeoka (Departments of Neurosurgery Nara Medical University, Kashihara, Japan) Ichiro Nakgawa (Departments of Neurosurgery Nara Medical University, Kashihara, Japan)
저널정보
대한뇌종양학회 Brain Tumor Research and Treatment Brain Tumor Research and Treatment Vol.12 No.1
발행연도
2024.1
수록면
75 - 79 (5page)

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초록· 키워드

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Angiocentric glioma (AG) is an extremely rare tumor that often develops in adolescents. Awake surgery for AG occurring in the eloquent area has not been reported to date. We report a case involving a right- handed 15-year-old boy with AG. He presented with a first-time generalized tonic-clonic seizure and was rushed to the local hospital. CT of the head indicated a left frontal low-density mass with no calci- fication. He was subsequently referred to our hospital. Comparison with a CT scan obtained two years prior due to mild head trauma indicated that the lesion showed a trend toward enlargement. The lesion was located in the anterior and lateral portions of the primary motor cortex, and MRI showed homoge- nous hypointensity on T1-weighted and hyperintensity on T2-weighted images. Contrast-enhanced MRI showed a linear contrast effect. The patient underwent awake surgery with successful intraopera- tive brain mapping and total resection, and brain function was preserved. Pathological analysis re- vealed AG. He returned to his normal life and has shown no recurrence without additional treatment for 2 years. Thus, awake surgery for complete tumor resection while preserving brain function is effec- tive and safe even in adolescents with AGs.

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