Resumen
Introduction: This is the case of a 26-year-old male patient with a two-year history of tonic-clonic seizures. Upon investigation, a type 2 mesial temporal glioma was identified as the cause of the clinical manifestation. Objective: A treatment plan was formulated based on the location of the glioma and existing literature. This involved a large resection via a pterional craniotomy, followed by a transtemporal approach through the Sylvian fissure. Results: Due to the presence of critical eloquent structures such as the hippocampus and amygdala, as well as important vascular structures like the middle cerebral artery and its branches, neuronavigation was used to guide the approach. Conclusion: The expected outcome of the treatment plan was a complete extensive resection, followed by a reduction in seizure frequency without postoperative neurological deficits.
Citas
Bibliografía
McNeill, K.A. Epidemiology of brain tumors. Neurol Clin. 2016, Nov.; 34(4): 981–998. DOI: 10.1016/j.ncl.2016.06.014
Campero, A., Ajler, P. Neuroanatomía quirúrgica. Buenos Aires, Argentina: Ediciones Journal, 2019. https://www.edicionesjournal.com/Papel/9789874922243/Neuroanatom%C3%ADa+Quir%C3%BArgica?srsltid=AfmBOoqMxjD4oRuFJ94u6DzlJWvyr4bPUPdPQBXikMsnJhFZ2T95Rka-
Wu, K.C., Chiocca, E.A., Arnaout, O. Youmans and Winn neurological surgery. 8th ed. Philadelphia, PA. Elsevier, 2022. https://www.clinicalkey.com/#!/browse/book/3-s2.0-C20181002760
Wirtz, C.R., Albert, F.K., Schwaderer, M., Heuer, C., Staubert, A., Tronnier, V.M., et al. The benefit of neuronavigation for neurosurgery analyzed by its impact on glioblastoma surgery. Neurol Res. 2000, Jun.; 22(4): 354–360. DOI: 10.1080/01616412.2000.11740684
Zhang, M., Xiao, X., Gu, G., Zhang, P., Wu, W., Wang, Y., et al. Role of neuronavigation in the surgical management of brainstem gliomas. Front Oncol. 2023, May; 13: 1159230. https://doi.org/10.3389/fonc.2023.1159230
Legninda Sop, F.Y., D’Ercole, M., Izzo, A., Rapisarda, A,, Ioannoni, E., Caricato, A., et al. The impact of neuronavigation on the surgical outcome of microvascular decompression for trigeminal neuralgia. World Neurosurg. 2021, May; 149: 80–85. DOI: 10.1016/j.wneu.2021.02.063
Blair, R.D.G. Temporal lobe epilepsy semiology. Epilepsy Res Treat. 2012, March; 2012: 1–10. https://doi.org/10.1155/2012/751510
Bartolomei, F., Chauvel, P., Wendling, F. Epileptogenicity of brain structures in human temporal lobe epilepsy: a quantified study from intracerebral EEG. Brain. 2008, July; 131(7): 1818–1830. https://doi.org/10.1093/brain/awn111
Phi, J.H., Chung, C.K. Brain tumors in the mesial temporal lobe: long-term oncological outcome. Neurosurg Focus. 2009, Aug.; 27(2): E5. https://doi.org/10.3171/2009.5.FOCUS09106
Straus, D., Byrne, R.W., Sani, S., Serici, A., Moftakhar, R. Microsurgical anatomy of the transsylvian translimen insula approach to the mediobasal temporal lobe: technical considerations and case illustration. Surg Neurol Int. 2013, Dec.; 4:159. DOI: 10.4103/2152-7806.123285
Lau, R., Gabarros, A., Martino, J., Fernández-Coello, A., Sanmillán, J.L., Benet, A., et al. Anterior transtemporal endoscopic selective amygdalohippocampectomy: a virtual and cadaveric feasibility study. Acta Neurochir (Wien). 2022, July; 164(11): 2841–2849. https://doi.org/10.1007/s00701-022-05295-7
Park, J-H., Cho, H.R., Seung, W.B., Lee, S.H., Park, Y.S. The pterional-transsylvian approach for tumor in the temporal horn: a case report. Brain Tumor Res Treat. 2015, Oct.; 3(2): 118–121. https://doi.org/10.14791/btrt.2015.3.2.118
Copyright
License
Copyright (c) 2025 Pedro Pablo Brol Higueros, Pedro Javier Brol López
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish in this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License 4.0 (CC BY-NC_SA 4.0) that indicates: a) It is allowed that others share the work, with an acknowledgement of the work's authorship and initial publication in this journal, b) The work may not be used for commercial purposes, c) If it's remixed, transformed, or built upon the material, one must distribute the contributions under the same license as the original
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository, website or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
