Plastic relocation of motor cortex in a patient with LGG (low grade glioma) confirmed by NBS (navigated brain stimulation)

Satoshi Takahashi, Daniel Jussen, Peter Vajkoczy, Thomas Picht

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

We report on a patient with LGG, in whom NBS mapping confirmed relocation of the primary motor cortex (M1) concurrent with multistage surgery. Comparing the NBS results at 18 months with the initial results revealed that the M1 representation had shifted from the precentral to the postcentral gyrus. The patient underwent a third surgical intervention. Intraoperative direct cortical stimulation (DCS) confirmed the shift of the M1. Plastic changes in M1 localization permitted complete tumour removal without neurological sequela. To our knowledge, this is the first report on a LGG patient where induced brain plasticity has been confirmed by NBS mapping.

Original languageEnglish
Pages (from-to)2003-2008
Number of pages6
JournalActa Neurochirurgica
Volume154
Issue number11
DOIs
Publication statusPublished - 2012 Nov 1

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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