CAJ | 학술논문

　　目的探讨岛盖区胶质瘤手术方法及术后并发缺血性梗死。方法11例经治岛盖胶质瘤的患者，术后立刻做MRI（包括DW）观察临床效果及副反应。结果其中3例患者，因术中血供中断，引起放射冠内下行运动路径的梗死灶意外扩大，可能造成长束功能的损害。结论岛盖胶质瘤切除术可能引起放射冠或轻或重的缺血性并发症。
　　목적탐토도개구효질류수술방법급술후병발결혈성경사。방법11례경치도개효질류적환자，술후립각주MRI（포괄DW）관찰림상효과급부반응。결과기중3례환자，인술중혈공중단，인기방사관내하행운동로경적경사조의외확대，가능조성장속공능적손해。결론도개효질류절제술가능인기방사관혹경혹중적결혈성병발증。
Objective Explore the resection of opercular gliomas surgical method associated with ischemic complications. Methods Immediate postoperative MR imaging that included DW imaging disclosed infarct lesions in all of 11 patients treated for opercular gliomas,who were observed the curative effect. Results In 3 patients,disruption of the blood supply during surgery produced unexpected extension of the infarct lesions to the descending motor pathway in the corona radiata, which may have impaired long tract functions. Conclusion Resection of opercular glioma can cause mild or severe ischemic complications in the corona radiate.