Recurrent Supplementary Motor Area Syndrome Following Repeat Brain Tumor Resection Involving Supplementary Motor Cortex.

摘要: BACKGROUND Supplementary motor area (SMA) syndrome occurs after surgery involving the SMA and is characterized by contralateral hemiparesis with or without speech impairment (dependent on involvement of dominant SMA), which transient characteristically resolves over course weeks to months. Recurrent repeat craniotomy has not been previously described. OBJECTIVE To describe presentation clinical patients who developed recurrent redo resection tumors SMA. METHODS We performed a retrospective review 15 underwent repeated low-grade glioma from superior middle frontal gyrus. Of these patients, we identified 6 cases syndrome. RESULTS Six had documented occurring initial subsequent tumor in proximity Intraoperative localization eloquent language cortex was achieved each patient using combination somatosensory evoked potentials electrocortical stimulation mapping. Location extent examined magnetic resonance imaging. CONCLUSION This series demonstrates that undergoing The presence provides support for reorganization function adjacent ipsilateral resection. Patients neoplasms should be counseled possibility