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Child's Nervous System

, Volume 35, Issue 1, pp 175–181 | Cite as

Left perisylvian tumor surgery aided by TMS language mapping in a 6-year-old boy: case report

  • Tizian RosenstockEmail author
  • Thomas Picht
  • Heike Schneider
  • Arend Koch
  • Ulrich-Wilhelm Thomale
Case Report

Abstract

Background

Awake surgery to preserve language function in young children is challenging, therefore reliable non-invasive work-up of language functional anatomy is needed to preserve language function at any cost. Furthermore, there are obvious limitations of an awake craniotomy with direct stimulation on a child.

Case report

A 6-year-old boy with a low-grade glioma of the left temporal lobe suffering from epileptic seizures underwent surgery, guided by preoperative transcranial magnetic stimulation (TMS) language mapping and consecutive DTI fiber tracking.

Discussion and conclusion

We report successful surgery of a language eloquent brain tumor in a young child based on TMS mapping and DTI fiber tracking alone. Surgical treatment of left-sided perisylvian tumors in children is discussed.

Keywords

Navigated transcranial magnetic stimulation (nTMS) Brain tumor surgery Pilocytic astrocytoma Diffusion tensor imaging 

Notes

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurosurgery, Charité – Universitäsmedizin Berlin, corporate member of Freie Universität Berlin, and Berlin Institute of HealthCharité University MedicineBerlinGermany
  2. 2.Department of Neuropathology, Charité – Universitäsmedizin Berlin, corporate member of Freie Universität Berlin, and Berlin Institute of HealthCharité University MedicineBerlinGermany
  3. 3.Pediatric Neurosurgery, Charité – Universitäsmedizin Berlin, corporate member of Freie Universität Berlin, and Berlin Institute of HealthCharité University MedicineBerlinGermany

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