Patients under going surgery with stimulation trasncortical compared with conventional surgery for glioblastomas of high grade motor area and language

Abstract

Glioblastoma multiforme and anaplastic astrocytimas are more frequent in adult malignant brain in tumors. The location of these tumors in eloquent areas account for more than 80%.The surgical treatment, requires functional resection of this lesion, decreasing the risk of sequels and enabling to have better functionality. Objective: to know the engines postoperative results and language in patients with highgrade gliomas operated transcortical stimulation compared with conventional surgery. Material and methods: a descriptive, analytical observational retrospective study with review of the cases with a diagnosis of gliomas high-grade eloquent area (motor and language) already operated stimulator transcortical and conventional surgery in the National Medical Center “20 de Noviembre” of ISSSTE 1st. January 2005 to 31 December 2015; the preoperative measurements of the motor deficit, language and functionality were compared. Results: we found that patients with gliomas of High-grade motor region there is statistically significant difference with p=0.013 in those who had recived stimulation concerning the deficit and functionality that are post surgical, while cases with injuries areas of language not found significant difference. Conclusion: surgery with transcotical stimulation in eloquent area, if it improves the functionality and reduces the deficit and functionality and reduces the deficit post surgical injury in motor eloquent area, for other areas deserves to continue in the study. Key