Intraparenchymal Epidermoid Cyst Close to Broca Area—Awake Craniotomy and Gross Total Resection

Filho, Leonardo José Monteiro de Macêdo; Aguiar, Gilnard C.M.; Pessoa, Fátima C.; Diógenes, Gabryella S.; Borges, Felipe Sbrolini; Joaquim, Andrei Fernandes; Albuquerque, Lucas Alverne Freitas de

doi:10.1016/j.wneu.2020.06.135

Cited by 11 publications

(13 citation statements)

References 18 publications

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“…These cases along with the cases in present series are summarized in Table 1 . 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Of these 37 cases, 62.2% ( n = 23) patients were males and 37.8% were females. The mean age of the patients was 37.4 years (standard deviation ±15.5).…”

Section: Resultsmentioning

confidence: 99%

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Clinicoradiological Features and Treatment Outcome of Supratentorial Intraparenchymal Epidermoid Cyst: A Report of Five Cases and Literature Review

Kumar

Maurya

Kanjilal

et al. 2021

JNRP

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Objectives Intraparenchymal epidermoid cysts (IECs) are rare lesions. They represent less than 1% of the intracranial epidermoid cysts. The supratentorial IEC is a clinically and prognostically distinct subset. Given the rarity, most of the articles are case reports. We present a series of five cases of supratentorial IEC to characterize their clinical presentation and outcome, with emphasis on the surgical features. Materials and Methods We searched our database for all cases of intracranial epidermoid cysts operated between January 2005 and January 2020. Five patients were identified having IEC from the hospital information system and the neurosurgical operation record book. Standard craniotomy and decompression of the lesion were performed in all these patients. Standard postoperative care includes computed tomography scan of head on the day of surgery and magnetic resonance imaging of brain after 6 weeks to look for the residual lesion, if any. Subsequent follow-up visits in outpatient department to look for resolution of the presurgical symptoms. Results The mean age of the patients in our series was 28.8 years (range: 28–40 years.). All the five patients were male. Four patients had IEC involving frontal lobe and one in parietal lobe with a small occipital lobe extension. Seizure was the most common presenting complaint followed by headache. Complete excision was achieved in all the cases. All the three patients with seizure attained seizure freedom postlesionectomy. Focal neurological deficits resolved gradually in postoperative period. There was no recurrence of lesion during follow-up. Conclusion Supratentorial IEC most commonly affects young males, involve frontal lobe and present clinically with seizure. Complete surgical excision offers best outcome in the form of remission of seizure disorder.

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Section: Resultsmentioning

confidence: 99%

“…The tumor could be completely excised under awake craniotomy. 18 These symptoms tend to gradually resolve completely following surgery. 10 14 19 However, aggressive resection of adherent capsule on the eloquent area may injure it leading to permanent deficit.…”

Section: Discussionmentioning

confidence: 99%

Clinicoradiological Features and Treatment Outcome of Supratentorial Intraparenchymal Epidermoid Cyst: A Report of Five Cases and Literature Review

Kumar

Maurya

Kanjilal

et al. 2021

JNRP

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“…Of the studies considered in this manuscript, four did not describe the procedures used for language assessment (Bilotta et al, 2011;Wang et al, 2013;de Macêdo Filho et al, 2020;ReFaey et al, 2020). In one case (Pouratian et al, 2000) the authors reported that extensive testing was performed in all the languages of the patient but did not describe it.…”

Section: Preoperative Language Assessmentmentioning

confidence: 98%

“…Frontiers in Human Neuroscience | www.frontiersin.org but operationalized the variable differently; four studies only distinguished languages acquired during childhood vs. adulthood (Bilotta et al, 2011;Chan et al, 2019;Jain et al, 2019;de Macêdo Filho et al, 2020). The remaining studies either reported AoA or distinguished between early-acquired and late acquired multilingualism.…”

Section: Age Of Acquisitionmentioning

confidence: 99%

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Language Assessment in Multilingualism and Awake Neurosurgery

Martino

Talacchi

Capasso³

et al. 2021

Front. Hum. Neurosci.

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Multilingualism has become a worldwide phenomenon that poses critical issues about the language assessment in patients undergoing awake neurosurgery in eloquent brain areas. The accuracy and sensitivity of multilingual perioperative language assessment procedures is crucial for a number of reasons: they should be appropriate to detect deficits in each of the languages spoken by the patient; they should be suitable to identify language-specific cortical regions; they should ensure that each of the languages of a multilingual patient is tested at an adequate and comparable level of difficulty. In clinical practice, a patient-tailored approach is generally preferred. This is a necessary compromise since it is impossible to predict all the possible language combinations spoken by individuals and thus the availability of standardized testing batteries is a potentially unattainable goal. On the other hand, this leads to high inconsistency in how different neurosurgical teams manage the linguistic features that determine similarity or distance between the languages spoken by the patient and that may constrain the neuroanatomical substrate of each language. The manuscript reviews the perioperative language assessment methodologies adopted in awake surgery studies on multilingual patients with brain tumor published from 1991 to 2021 and addresses the following issues: (1) The language selected for the general neuropsychological assessment of the patient. (2) The procedures adopted to assess the dimensions that may constrain language organization in multilingual speakers: age and type of acquisition, exposure, proficiency, and use of the different languages. (3) The type of preoperative language assessment used for all the languages spoken by the patient. (4) The linguistic tasks selected in the intraoperative setting. The reviewed data show a great heterogeneity in the perioperative clinical workup with multilingual patients. The only exception is the task used during language mapping, as the picture naming task is highly preferred. The review highlights that an objective and accurate description of both the linguistic profile of multilingual patients and the specific properties of the languages under scrutiny can profitably support clinical management and decision making in multilingual awake neurosurgery settings.

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Dermoid and Epidermoid Cyst

Guo

2023

Incidental Findings of the Nervous System

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Intraparenchymal Epidermoid Cyst Close to Broca Area—Awake Craniotomy and Gross Total Resection

Cited by 11 publications

References 18 publications

Clinicoradiological Features and Treatment Outcome of Supratentorial Intraparenchymal Epidermoid Cyst: A Report of Five Cases and Literature Review

Clinicoradiological Features and Treatment Outcome of Supratentorial Intraparenchymal Epidermoid Cyst: A Report of Five Cases and Literature Review

Language Assessment in Multilingualism and Awake Neurosurgery

Dermoid and Epidermoid Cyst

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