scholarly journals A Super-selective Wada Test Successfully Detected an Artery That Supplied Broca’s Area in a Case of Left Frontal Lobe Glioblastoma: Technical Case Report

Author(s):  
Shota YAMASHITA ◽  
Ryuta SAITO ◽  
Shin-ichiro OSAWA ◽  
Kuniyasu NIIZUMA ◽  
Kazushi UKISHIRO ◽  
...  
1996 ◽  
Vol 16 (4) ◽  
pp. 322-330 ◽  
Author(s):  
Seiko Ishiguro ◽  
Osamu Kawakami ◽  
Makoto Hashizume ◽  
Akiko Yamashita ◽  
Toshihiko Hamanaka ◽  
...  

2016 ◽  
Author(s):  
Nishanth Sampath ◽  
Roopesh Kumar ◽  
Sudhakar Subramaniam ◽  
Senthil Kumar ◽  
Vijay Sankar ◽  
...  

2015 ◽  
Vol 122 (6) ◽  
pp. 1390-1396 ◽  
Author(s):  
Masazumi Fujii ◽  
Satoshi Maesawa ◽  
Kazuya Motomura ◽  
Miyako Futamura ◽  
Yuichiro Hayashi ◽  
...  

OBJECT The deep frontal pathway connecting the superior frontal gyrus to Broca's area, recently named the frontal aslant tract (FAT), is assumed to be associated with language functions, especially speech initiation and spontaneity. Injury to the deep frontal lobe is known to cause aphasia that mimics the aphasia caused by damage to the supplementary motor area. Although fiber dissection and tractography have revealed the existence of the tract, little is known about its function. The aim of this study was to determine the function of the FAT via electrical stimulation in patients with glioma who underwent awake surgery. METHODS The authors analyzed the data from subcortical mapping with electrical stimulation in 5 consecutive cases (3 males and 2 females, age range 40–54 years) with gliomas in the left frontal lobe. Diffusion tensor imaging (DTI) and tractography of the FAT were performed in all cases. A navigation system and intraoperative MRI were used in all cases. During the awake phase of the surgery, cortical mapping was performed to find the precentral gyrus and Broca's area, followed by tumor resection. After the cortical layer was removed, subcortical mapping was performed to assess language-associated fibers in the white matter. RESULTS In all 5 cases, positive responses were obtained at the stimulation sites in the subcortical area adjacent to the FAT, which was visualized by the navigation system. Speech arrest was observed in 4 cases, and remarkably slow speech and conversation was observed in 1 case. The location of these sites was also determined on intraoperative MR images and estimated on preoperative MR images with DTI tractography, confirming the spatial relationships among the stimulation sites and white matter tracts. Tumor removal was successfully performed without damage to this tract, and language function did not deteriorate in any of the cases postoperatively. CONCLUSIONS The authors identified the left FAT and confirmed that it was associated with language functions. This tract should be recognized by clinicians to preserve language function during brain tumor surgery, especially for tumors located in the deep frontal lobe on the language-dominant side.


2011 ◽  
Vol 22 (2) ◽  
pp. 404-406 ◽  
Author(s):  
Rei Enatsu ◽  
Stephen Hantus ◽  
Jorge Gonzalez-Martinez ◽  
Norman So

Author(s):  
Joyce JG ◽  
O’Dowd M ◽  
Ryan RS ◽  
Stokes HS ◽  
ONeill MB

2021 ◽  
Author(s):  
François Osiurak ◽  
Caroline Crétel ◽  
Natalie Uomini ◽  
Chloé Bryche ◽  
Mathieu Lesourd ◽  
...  

Understanding the link between brain evolution and the evolution of distinctive features of modern human cognition is a fundamental challenge. A still unresolved question concerns the co-evolution of tool behavior (i.e., tool use or tool making) and language. The shared neurocognitive processes hypothesis suggests that the emergence of the combinatorial component of language skills within the frontal lobe/Broca’s area made possible the complexification of tool-making skills. The importance of frontal lobe/Broca’s area in tool behavior is somewhat surprising with regard to the literature on neuropsychology and cognitive neuroscience, which has instead stressed the critical role of the left inferior parietal lobe. Therefore, to be complete, any version of the shared neurocognitive processes hypothesis needs to integrate the potential interactions between the frontal lobe/Broca’s area and the left inferior parietal lobe as well as their co-evolution at a phylogenetic level. Here we sought to provide first elements of answer through the use of the massive deployment framework, which posits that evolutionarily older brain areas are deployed in more cognitive functions (i.e., they are less specific). We focused on the left parietal cortex, and particularly the left areas PF, PGI, and AIP, which are known to be involved in tool use, language, and motor control, respectively. The deployment of each brain area in different cognitive functions was measured by conducting a meta-analysis of neuroimaging studies. Our results confirmed the pattern of specificity for each brain area and also showed that the left area PGI was far less specific than the left areas PF and AIP. From these findings, we discuss the different evolutionary scenarios depicting the potential co-evolution of the combinatorial and generative components of language and tool behavior in our lineage.


2019 ◽  
Vol 21 (Supplement_6) ◽  
pp. vi99-vi99
Author(s):  
Kyu Sang Lee ◽  
Gheeyoung Choe

Abstract Primary glioblastoma develops de novo without clinical or histological evidence of a low-grade precursor lesion, while secondary glioblastoma develops from a low-grade glioma. The same IDH mutation is observed in almost secondary glioblastomas that occurs in low-grade gliomas with IDH mutation. Present report is an extraordinary case of secondary glioblastoma, IDH-wildtype arising in diffuse astrocytoma, IDH-mutant. A 31-year-old female presented with seizure 3 months ago, who had a history of operation for diffuse astrocytoma, IDH-mutant on the left frontal lobe 6 years ago. Magnetic resonance imaging test revealed new infiltrative lesions (6.5cm) in left frontal lobe and corpus callosum, in addition to the non-enhancing mass (3.4cm). New infiltrative lesion suspected anaplastic change and the patient underwent tumorectomy. Microscopically, non-enhancing lesion showed high cellularity, moderate nuclear atypia and brisk mitosis. Microvascular proliferation and necrosis were absent that can be diagnosis as anaplastic astrocytoma. However, new infiltrative lesion showed microvascular proliferation and necrosis that acceptable for diagnosis as glioblastoma. IDH-1 immunohistochemistry (IHC) was positive in anaplastic astrocytoma but negative in glioblastoma. In addition, we assessed NGS based on the SNUBH Brain v1.0 (Macrogen, Seoul, South Korea) panel. Similar to IHC result, IDH-1 (p.Arg132His) mutation was found in anaplastic astrocytoma but not in glioblastoma. Interestingly, ATRX (p.Gln1670Ter) and TP53 (p.His193Arg) mutations were found in both lesions. Additionally, PTEN (p.His296Pro) mutation was identified in glioblastoma component only. Until now, it is well-known hypothesis that the IDH mutation initiated in glial progenitor cell and the other genetic mutations occur sequentially in pathogenesis of secondary glioblastoma. Notably, this is the first case report that other genetic alterations can be initiated before IDH mutation contrary to previous hypothesis. In our case, mutation of ATRX and TP53 might be initiated, and PTEN and IDH-1 mutations were sequentially occurred in glioblastoma and anaplastic astrocytoma, respectively.


1996 ◽  
Vol 36 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Mamoru TOMIDA ◽  
Masaaki MURAKI ◽  
Hisaya HIRAMATSU ◽  
Katsuyuki TSUKAMOTO ◽  
Kaoru HINOKUMA ◽  
...  

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