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Relationships between brain tumor and optic tract or calcarine fissure are involved in visual field deficits after surgery for brain tumor

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Abstract

Purpose

Diffusion tensor tractography provides useful information regarding the surgical strategy for brain tumors. The goal of the present study was to analyze relationships between visual field deficits and the locations of brain tumors compared with optic tracts as visualized by tractography, and compared with the calcarine fissure.

Methods

Subjects comprised 11 patients with brain tumor in the occipital lobe or atrium of the lateral ventricle who underwent surgery between October 2006 and February 2009. Tumors were categorized as Type A, with almost all the optic tract in the occipital lobe or atrium of the lateral ventricle running close to and stretched by the brain tumor; and Type B, with the optic tract running at least partially distant to the brain tumor and remaining unstretched.

Results

Those type A optic tracts that were laterally compressed by brain tumors (Cases 1–3) displayed hemianopsia after surgery. When the brain tumor was located rostro-medial to the calcarine fissure and optic tracts were compressed caudally by the tumor, lower quadrant hemianopsia remained after surgery (Cases 4, 5). In other cases, the visual field remained or improved to normal after surgery.

Conclusion

The relationship between optic tracts or the calcarine fissure, and brain tumors in the occipital lobe or atrium of the lateral ventricle is related to visual field deficits after surgery. In particular, those Type A optic tracts that are compressed laterally show hemianopsia of the visual field after surgery.

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Acknowledgments

This work was supported by the Foundation for Tokyo Metropolitan Hospital.

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Authors and Affiliations

  1. Department of Neurosurgery, Komagome Metropolitan Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku, Tokyo, 113-8677, Japan

    Nobusada Shinoura, Ryoji Yamada, Yusuke Tabei & Kuniaki Saito

  2. Department of Radiologic Technology, Tokyo Metropolitan University of Health Sciences, 7-2-10, Higashiogu, Arakawa-ku, Tokyo, 116-8553, Japan

    Yuichi Suzuki & Kazuo Yagi

Authors
  1. Nobusada Shinoura
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  2. Yuichi Suzuki
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  3. Ryoji Yamada
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  4. Yusuke Tabei
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  5. Kuniaki Saito
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  6. Kazuo Yagi
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Correspondence to Nobusada Shinoura.

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Shinoura, N., Suzuki, Y., Yamada, R. et al. Relationships between brain tumor and optic tract or calcarine fissure are involved in visual field deficits after surgery for brain tumor. Acta Neurochir 152, 637–642 (2010). https://doi.org/10.1007/s00701-009-0582-0

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  • DOI: https://doi.org/10.1007/s00701-009-0582-0

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