Provocation and prediction of visual peripersonal neglect-like symptoms in preoperative planning and during awake brain surgery

Acta Neurochir (Wien). 2021 Jul;163(7):1941-1947. doi: 10.1007/s00701-021-04822-2. Epub 2021 Apr 5.

Abstract

Neglect is a severe neuropsychological/neurological deficit that usually develops due to lesions of the posterior inferior parietal area of the right hemisphere and is characterized by a lack of attention to the left side. Our case is a proven right-handed, 30-year-old female patient with a low-grade glioma, which was located in the temporo-opercular region and also in the superior temporal gyrus of the right hemisphere. Upon presurgical planning, the motor, language, and visuospatial functions were mapped. In order to achieve this, the protocol for routine magnetic resonance imaging and navigated transcranial magnetic stimulation has been expanded, accordingly.

Keywords: awake brain surgery; brain tumor; nTMS; visual neglect.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brain Mapping
  • Brain Neoplasms* / diagnostic imaging
  • Brain Neoplasms* / surgery
  • Cerebral Cortex
  • Female
  • Glioma* / diagnostic imaging
  • Glioma* / surgery
  • Humans
  • Transcranial Magnetic Stimulation
  • Wakefulness*