Gliomas are a group of diseases that includes a variety of neoplasms of the brain and the spinal cord. They are formed from glial cells of the brain and the spinal cord which are the essential components of nervous tissue. Glial cells perform different functions – nutritional, protective or insulative. However, unlike neurons, the glial cells retain the ability to divide, which in turn entails the risk of developing a neoplasm.
Gliomas are the most common type of brain tumour which accounts for ca. 80% of intracranial neoplasms. The prognosis largely depends on the possibility of radical resection of such tumours.
At a Vital Medic Hospital, during the resection of gliomas, we use state-of-the-art methods that produce optimal results:
Electrophysiological monitoring allows identifying during the procedure the brain structures responsible for the vital functions of movement, speech, vision etc.
Neuropsychological monitoring during the procedure helps identify brain structures responsible for cognitive functions and mood
Procedure planning is based on the fusion of magnetic resonance with tractography imaging of the area of the brain tumour and intraoperative CT imaging with the use of O-arm and neuronavigation
A fluorescence microscope for the identification of cancer cells.
From the perspective of a neurosurgeon, the patient must remain conscious during the surgery of some types of gliomas. When surgery of an ‘eloquent’ area of the brain is needed, it is vital to know precisely what function is controlled by this area of the brain.
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