{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:06:55Z","timestamp":1787508415941,"version":"build-2736575974"},"reference-count":68,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Gliomas invading the anterior corpus callosum are commonly deemed unresectable due to an unacceptable risk\/benefit ratio, including the risk of abulia. In this study, the authors investigated the anatomy of the cingulum and its connectivity within the default mode network (DMN). A technique is described involving awake subcortical mapping with higher attention tasks to preserve the cingulum and reduce the incidence of postoperative abulia for patients with so-called butterfly gliomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The authors reviewed clinical data on all patients undergoing glioma surgery performed by the senior author during a 4-year period at the University of Oklahoma Health Sciences Center. Forty patients were identified who underwent surgery for butterfly gliomas. Each patient was designated as having undergone surgery either with or without the use of awake subcortical mapping and preservation of the cingulum. Data recorded on these patients included the incidence of abulia\/akinetic mutism. In the context of the study findings, the authors conducted a detailed anatomical study of the cingulum and its role within the DMN using postmortem fiber tract dissections of 10 cerebral hemispheres and in vivo diffusion tractography of 10 healthy subjects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Forty patients with butterfly gliomas were treated, 25 (62%) with standard surgical methods and 15 (38%) with awake subcortical mapping and preservation of the cingulum. One patient (1\/15, 7%) experienced postoperative abulia following surgery with the cingulum-sparing technique. Greater than 90% resection was achieved in 13\/15 (87%) of these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>This study presents evidence that anterior butterfly gliomas can be safely removed using a novel, attention-task based, awake brain surgery technique that focuses on preserving the anatomical connectivity of the cingulum and relevant aspects of the cingulate gyrus.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2016.5.jns153006","type":"journal-article","created":{"date-parts":[[2016,9,16]],"date-time":"2016-09-16T09:59:25Z","timestamp":1474019965000},"page":"1795-1811","source":"Crossref","is-referenced-by-count":66,"title":["A method for safely resecting anterior butterfly gliomas: the surgical anatomy of the default mode network and the relevance of its preservation"],"prefix":"10.3171","volume":"126","author":[{"given":"Joshua D.","family":"Burks","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip A.","family":"Bonney","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew K.","family":"Conner","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad A.","family":"Glenn","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert G.","family":"Briggs","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James D.","family":"Battiste","sequence":"additional","affiliation":[{"name":"Neurology,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tressie","family":"McCoy","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel L.","family":"O'Donoghue","sequence":"additional","affiliation":[{"name":"Cell Biology, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dee H.","family":"Wu","sequence":"additional","affiliation":[{"name":"Radiological Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E.","family":"Sughrue","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns153006","series-title":"J Neurooncol","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1007\/s11060-015-1867-1","article-title":"The role of surgery in the management of patients with diffuse low grade glioma: A systematic review and evidence-based clinical practice guideline","volume":"125","author":"Aghi MK,","year":"2015","unstructured":"Aghi MK, Nahed BV, Sloan AE, Ryken TC, Kalkanis SN, Olson JJ: The role of surgery in the management of patients with diffuse low grade glioma: A systematic review and evidence-based clinical practice guideline. 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