Clinical summary
Exérèse d'un gliome diffus de bas grade dans la région de Broca en chirurgie cérébrale éveillée - Pr Hugues Duffau
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Patiente de 37 ans, droitière, sans antécédent, ayant subi une crise d’épilepsie généralisée au 7eme mois de sa 4eme grossesse.
IRM : tumeur fronto-insulaire gauche, infiltrant la partie postérieure du gyrus frontal inférieur gauche (« aire de Broca »), le cortex prémoteur ventral (partie latérale du gyrus précentral gauche) et l’insula.
Evolution lente mais régulière de la tumeur en 6 mois: de 76cc à 80cc.
En parallèle, majoration de la fréquence des crises malgré un traitement par Lamictal.
Examen neurologique normal.
Examen neuropsychologique: déficit mineur mais objectif de la mémoire de travail verbale.

Décision d’intervention chirurgicale d’exérèse en condition éveillée avec cartographie fonctionnelle cortico-sous-corticale per-opératoire.
Around the surgeon - Nurse(s)
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        Information about the operation
        Duration:27:00 Last update:25/10/2019
        Operation technical gestures
        1. Positioning and shampoo(01:29)
        2. Opening(01:30)
        3. Awakening and cortical mapping(09:18)
        4. Glioma resection(06:46)
        5. Closure(08:12)