国际神经病学神经外科学杂志2025，Vol.52Issue(2)：46-51,6.DOI:10.16636/j.cnki.jinn.1673-2642.2025.02.007
辅助运动区胶质瘤的临床特征、手术策略及疗效(附11例报告)
Clinical features,surgical strategy,and treatment outcome of glioma involving the supplementary motor area:A report of 11 cases
摘要
Abstract
Objective To investigate the clinical features,surgical strategy,and treatment outcome of glioma involving the supplementary motor area.Methods A retrospective analysis was performed for the clinical data of 11 patients with glioma involving the supplementary motor area who were admitted to The First Affiliated Hospital of Fujian Medical University from January 2021 to December 2023.The clinical features,surgical strategy,and treatment outcome of these patients were summarized,and a literature review was also performed.Results Among the 11 patients,5 had epilepsy as the initial presentation,4 had headache and dizziness as the initial presentation,1 had limb weakness as the initial presentation,and 1 was identified by physical examination.Of all patients,7 had glioma in the left supplementary motor area,and 4 had glioma in the right supplementary motor area.Among the 11 patients,3 underwent tumor resection guided by neuronavigation and electrophysiological monitoring under intraoperative awake anesthesia,and 7 underwent tumor resection guided by neuronavigation and electrophysiological monitoring;in addition,1 patient underwent conventional craniotomy,8 underwent total tumor resection,and 3 underwent subtotal resection.Supplementary motor area syndrome was observed in 10 patients after surgery,and all these patients recovered within weeks to months.Postoperative pathological examination showed WHO grade Ⅱ glioma in 7 patients(6 patients with oligodendroglioma and 1 patient with diffuse astrocytoma)and WHO grade Ⅲ glioma in 4 patients(3 patients with anaplastic astrocytoma and 1 patient with anaplastic oligodendroglioma).Conclusions Low-grade gliomas are more common in the supplementary motor area,often with epileptic seizures as the initial presentation.Safe tumor resection to the largest extent can be achieved under the guidance of multimodal adjuvant techniques,and the DTI technique can be used to develop surgical strategies.Supplementary motor area syndrome after surgery can disappear completely within weeks to months after surgery.关键词
辅助运动区/胶质瘤/手术策略/疗效Key words
supplementary motor area/glioma/surgical strategy/treatment outcome分类
临床医学引用本文复制引用
廖久山,李承俊,林福鑫,姚培森,魏鸿杰,张永祥,陈炳宏,林元相..辅助运动区胶质瘤的临床特征、手术策略及疗效(附11例报告)[J].国际神经病学神经外科学杂志,2025,52(2):46-51,6.基金项目
福建医科大学启航基金(2021QH1091). （2021QH1091）
