TSUZUKI Shunsuke    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Assistant Professor
Article types	Original article
Language	English
Peer review	Peer reviewed
Title	Awake craniotomy with transcortical motor evoked potential monitoring for resection of gliomas in the precentral gyrus: utility for predicting motor function
Journal	Formal name：Journal of neurosurgery Abbreviation：J Neurosurg ISSN code：00223085/19330693
Domestic / Foregin	Foregin
Volume, Issue, Page	132(4),pp.987-997
Author and coauthor	SAITO Taiichi†, MURAGAKI Yoshihiro*, TAMURA Manabu, MARUYAMA Takashi, NITTA Masayuki, TSUZUKI Shunsuke, FUKUCHI Satoko, OHASHI Mana, KAWAMATA Takakazu
Publication date	2019/03
Summary	OBJECTIVE Resection of gliomas in the precentral gyrus carries a risk of severe motor dysfunction. To prevent permanent, severe postoperative motor dysfunction, reliable intraoperative predictors of postoperative function are required. Since 2005, the authors have removed gliomas in the precentral gyrus with combined functional mapping and estimation of intraoperative voluntary movement (IVM) during awake craniotomy and transcortical motor evoked potentials (MEPs). The purpose of the current study was to evaluate whether intraoperative findings of combined monitoring of IVM during awake craniotomy and transcortical MEP monitoring were useful for predicting postoperative motor function of patients with gliomas in the precentral gyrus. METHODS The current study included 30 patients who underwent resection of precentral gyrus gliomas during awake craniotomy from April 2000 to January 2018. All tumors were removed with monitoring of IVM during awake craniotomy and transcortical MEPs. Postoperative motor function was classified as stable or declined, with the extent of decline categorized as mild, moderate, or severe. We defined moderate and severe deficits were those that hindered daily life.
DOI	10.3171/2018.11.JNS182609
PMID	30875689