Surgical treatment of gliomas involving the supplementary motor area in the superior frontal gyrus.
- Author:
Wei LIU
1
;
Jian-jun LAI
;
Yuan-ming QU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Astrocytoma; surgery; Brain Neoplasms; surgery; Female; Follow-Up Studies; Frontal Lobe; surgery; Humans; Male; Middle Aged; Movement Disorders; etiology; physiopathology; Neurosurgical Procedures; adverse effects; methods; Recovery of Function; Speech Disorders; etiology; physiopathology
- From: Chinese Journal of Surgery 2004;42(13):781-783
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore surgical treatment of gliomas involving the supplementary motor area (SMA) in the superior frontal gyrus.
METHODSClinical data and follow-up outcome of 16 patients with low graded astrocytomas involving the supplementary motor area were analyzed.
RESULTSSMA syndrome was developed in 6 patients in whom the posterior tumor resection line was at a distance of more than 1 cm from the precentral sulcus and resolved after 12 months. Hemiplegia occurred however in 8 patients in whom the resection line was less than 1 cm to precentral sulcus and only resolved in 3 patients during follow period 12 months.
CONCLUSIONSWhen the resection is performed at a distance of less than 1 cm from the precentral sulcus, surgery for gliomas of involving the supplementary motor area in the superior frontal gyrus may be result in permanent morbidity.
