Case Report

Combined Awake Craniotomy with Endoscopic Port Surgery for Resection of a Deep-Seated Temporal Lobe Glioma: A Case Report

Figure 1

Preoperative and postoperative images. (a) Preresection T1 axial MRI with contrast showing a temporal lesion with an estimated 5.0 cubic centimeter volume. (b) Immediate postresection T1 axial MRI with contrast showing a slight amount of residual enhancement at the anteromedial margin of the resection cavity. (Yellow arrow indicates residual tumor area not present in (c)). (c) The corresponding noncontrast enhanced T1 MRI image taken at the same time demonstrates that the posteromedial and lateral hyperintensities are in fact blood products and postoperative change rather than gross residual tumor. A 93.3% volumetric resection was achieved.
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(a)
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(b)
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(c)