{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T21:46:53Z","timestamp":1783547213581,"version":"3.55.0"},"reference-count":30,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Gliomas, the most common primary brain tumors, pose surgical challenges in eloquent cortex regions due to potential deficits affecting patients\u2019 quality of life (QOL) and increased mortality risk. This study investigates motor and sensory recovery postresection of Rolandic cortex gliomas in 40 patients, alongside seizure outcomes and the efficacy of intraoperative techniques such as awake craniotomy.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>This was a 10-year monocentric retrospective study based on the experience of a neurosurgeon in the resection of Rolandic gliomas and its impact on 40 patients\u2019 QOL in a period from 2011 to 2020. The primary outcomes were tumor recurrence and the efficacy of the surgery defined as survival status, seizure status, and sensory and motor neurological deficits. Data collection included demographic, tumor, and surgical outcome variables. The extent of resection (EOR) was classified as gross total resection (GTR) (EOR \u226595%) or subtotal resection (EOR &lt;95%). Statistical analysis involved descriptive statistics and inferential tests for outcome comparisons.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>Patients were aged an average of 42.3 \u00b1 14 years and distributed between 72.5% of males and 27.5% of females. The most common presentation was seizures (65%). The tumor was located in the frontal lobe at 65%, the motor at 75%, and the top tumor pathology was oligodendroglioma (42.5%). The recurrence rate in the study was 20% (8 of 40), and the 1-year survival rate was 92.5%. After the resection, significant improvement was shown in Karnofsky\u2019s performance status (<jats:italic>P<\/jats:italic> = 0.007), in normal daily activities (<jats:italic>P<\/jats:italic> = 0.001), in fine motor skills (<jats:italic>P<\/jats:italic> = 0.020), and work hobbies (<jats:italic>P<\/jats:italic> = 0.046). No statistically significant improvement was shown in seizures and deficit rates. Recurrence was not associated with the demographic characteristics, clinical presentation, tumor-related characteristics (location, area, side, and mutation), tumor resection, and adjuvant treatment (<jats:italic>P<\/jats:italic> &gt; 0.05).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>GTR of Rolandic gliomas can be achieved with the use of meticulous stimulation mapping, and complete functional recovery is attainable despite common belief.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_158_2024","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T09:15:19Z","timestamp":1720170919000},"page":"228","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The effect of resection of gliomas of the primary motor and sensory cortex on functional recovery and seizure outcome: A 10-year retrospective study"],"prefix":"10.25259","volume":"15","author":[{"given":"Mohamad","family":"Yazbeck","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Lebanese University, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nour","family":"Kassem","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lebanese University, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabil","family":"Nassar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lebanese University, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadi","family":"Farhat","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Balamand, Beirut, Lebanon."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baraa","family":"Dabboucy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lebanese University, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yehya","family":"Tlaiss","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Balamand, Beirut, Lebanon."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youssef","family":"Comair","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lebanese University, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,7,5]]},"reference":[{"key":"10.25259\/SNI_158_2024\/ref-1","first-page":"263","article-title":"Awake craniotomy versus general anesthesia for managing eloquent cortex low-grade gliomas","volume":"14","author":"Ali","year":"2009","journal-title":"Neurosciences"},{"key":"10.25259\/SNI_158_2024\/ref-2","doi-asserted-by":"crossref","first-page":"227","DOI":"10.3171\/JNS\/2008\/108\/2\/0227","article-title":"Seizure characteristics and control following 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