Surgical treatment of brain tumors adjacent to corticospinal tract in children

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An urgent problem in modern neurosurgery is resection of brain tumors adjacent to corticospinal tract (CST) due to high risk of its damage and subsequent disability. The main methods for prevention of intraoperative damage to CST are preoperative MR tractography and intraoperative electrophysiological monitoring. Both methods are used in pediatric neurosurgery. We reviewed the PubMed database since 2000 using the following keywords: «tumors of the hemispheres in children», «corticospinal tract», «MR tractography», «intraoperative electrophysiological monitoring». We present available literature data on preoperative MR tractography and intraoperative electrophysiological monitoring in children with supratentorial tumors near CST. Algorithm of intraoperative electrophysiological monitoring is often missing or insufficiently described. MR tractography is usually presented in case reports. Researchers do not compare the effectiveness of MR tractography and intraoperative electrophysiological monitoring. In case of MR tractography, a limitation is impossible CST reconstruction in children 2—3 years old. This may be due to unformed pyramidal system in these children.

CONCLUSION

Preoperative MR tractography and intraoperative electrophysiological monitoring are valid methods for assessment of CST. Optimal research parameters in children require careful study that will allow objective planning of each stage of preoperative management and increase resection quality for gliomas near CST in children without neurological deterioration.

Keywords:

basal ganglia tumors

motor cortex tumors

MR tractography

intraoperative electrophysiological monitoring

Authors:

Kakhkharov R.A.

Burdenko Neurosurgical Center

SPIN RSCI: 9006-4948
ORCID: 0000-0003-2810-2714

Kadyrov Sh.U.

Burdenko Neurosurgical Center

RSCI AuthorID: 669386
Scopus AuthorID: 23473552800
ORCID: 0000-0001-5879-1333

Ogurtsova A.A.

Burdenko Neurosurgical Center

ORCID: 0000-0003-3595-2696

Bayev A.A.

Burdenko Neurosurgical Center

RSCI AuthorID: 750038
Scopus AuthorID: 7003645367
ORCID: 0000-0003-4908-0534

Afandiev R.M.

Burdenko Neurosurgical Center

ORCID: 0000-0001-6384-7960

Pronin I.N.

Burdenko Neurosurgical Center

SPIN RSCI: 9223-9217
Scopus AuthorID: 7006011755
ORCID: 0000-0002-4480-0275

Received:

15.06.2023

Accepted:

14.09.2023

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