A left temporal mass and symptoms of speech hesitation
Monday, January 9, 2012 at 2:13PM
Webmaster @ Neurosurgery in Brain Tumor, awake craniotomy, glioma, oligoastrocytoma, speech mapping

Left temporal mass T2 sequenceSymptoms:  Difficulty in word choice

Brain MRILeft temporal mass post gadolinium T1 sequence   shows a left temporal mass without enhancement.  Preoperative MEG reveals expressive speech area just superior to tumor. 

Procedure: Awake craniotomy with intraoperative speech mapping.

Findings: Intraoperative speech mapping revealed complete speech arrest just outside margin of tumor. 

Pathology: oligoastrocytoma

Outcome: Patient with preserved speech function via awake craniotomy technique.

Article originally appeared on UC San Diego Neurosurgery (http://neurosurgery.ucsd.edu/).
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