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, Volume 28, Issue 6, pp 423–427

Neue Entwicklungen in der Chirurgie von Gliomen

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Zusammenfassung

Hintergrund

Die aktuelle Literatur legt nahe, dass die primäre und möglichst radikale Resektion von Gliomen die Prognose der Patienten verbessert. Entscheidend ist, dass dabei keine wesentlichen neurologischen Defizite entstehen.

Ergebnisse

In diesem Zusammenhang konnten innerhalb der letzten Jahre Techniken zur prä- sowie intraoperativen Erkennung von Tumorgewebe und Funktionen entwickelt bzw. verbessert werden, z. B. die Positronenemissionstomographie (PET) mit Aminosäuren, die funktionelle MRT, die navigierte Hirnstimulation, Fluoreszenzmethoden und der intraoperative Einsatz der MRT. Der vorliegende Beitrag gibt einen Überblick über aktuelle Entwicklungen in der Chirurgie hirneigener Tumoren.

Schlüsselwörter

Gliome Neurochirurgie Positronenemissionstomographie Magnetresonanztomographie Hirnstimulation 

New developments in the surgical treatment of gliomas

Abstract

Background

The current literature strongly supports radical resection of gliomas as the first line therapy to improve the prognosis of patients. However, it is important that no significant neurological deficits result.

Results

Accordingly, a number of pre- and intra-operative techniques for the identification of functionally intact brain and infiltrating tumor tissue have been developed, e.g., amino acid positron emission tomography, functional MRI, fluorescence techniques, navigated brain stimulation, and the intra-operative MRI. This review summarizes recent developments in the field of neurosurgery for the management of gliomas.

Keywords

Gliomas Neurosurgery procedures Positron-emission tomography Magnetic resonance imaging Brain stimulation 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Neurochirurgische KlinikUniversitätsklinikum MünsterMünsterDeutschland
  2. 2.Neurochirurgische KlinikUniversitätsklinikum KölnKölnDeutschland

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