{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T11:38:33Z","timestamp":1771069113545,"version":"3.50.1"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2001,12]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The goal in this study was to determine if intraoperative electrical stimulation mapping is useful during surgical resection of lesions located in the central region, even in cases of preoperative hemiplegia. This 45-year-old man with a retrocentral metastasis from an embryonal carcinoma of the testis suffered an acute complete hemiplegia after intratumoral bleeding. Emergency surgery was performed with the aid of intraoperative motor mapping despite the preoperative deficit. Cortical stimulations (CSs) elicited motor responses, allowing the detection and hence preservation of the primary motor area during tumor removal. Postoperatively, the patient recovered almost completely within 1 week; the tumor resection was total.<\/jats:p>\n<jats:p content-type=\"fine-print\">It is possible that CSs give an early and valuable prognostic indicator of motor recovery in cases of complete hemiplegia, at least in patients with acute onset and short duration of the deficit. Consequently, if motor responses can be elicited by CSs, it becomes mandatory for the surgeon to respect the primary motor area despite the preoperative hemiplegia, with the aim of preserving the chances of an eventual recovery.<\/jats:p>","DOI":"10.3171\/jns.2001.95.6.1050","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:33:58Z","timestamp":1242236038000},"page":"1050-1052","source":"Crossref","is-referenced-by-count":22,"title":["Recovery from complete hemiplegia following resection of a retrocentral metastasis: the prognostic value of intraoperative cortical stimulation"],"prefix":"10.3171","volume":"95","author":[{"given":"Hugues","family":"Duffau","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Stereotact Funct Neurosurg","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1159\/000098989","article-title":"Intraoperative brain mapping techniques in neuro-oncology.","volume":"58","author":"Berger","year":"1992"},{"key":"b2","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"914","DOI":"10.1227\/00006123-198706000-00016","article-title":"Cortical mapping for defining the limits of tumor resection.","volume":"20","author":"Black","year":"1987"},{"key":"b3","series-title":"Electromyogr Clin Neurophysiol","first-page":"405","article-title":"Motor hand recovery after stroke. Prognostic yield of early transcranial magnetic stimulation.","volume":"39","author":"Cruz Martinez","year":"1999"},{"key":"b4","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1097\/00006123-200010000-00001","article-title":"The insular lobe: physiopathological and surgical considerations.","volume":"47","author":"Duffau","year":"2000"},{"key":"b5","series-title":"Acta Neurochir","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1007\/s007010050413","article-title":"Intra-operative direct electrical stimulations of the central nervous system: the Salp\u00eatri\u00e8re experience with 60 patients.","volume":"141","author":"Duffau","year":"1999"},{"key":"b6","series-title":"Acta Neurochir","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1007\/BF01541777","article-title":"Safe surgery of lesions near the motor cortex using intra-operative mapping techniques: a report on 50 patients.","volume":"119","author":"Ebeling","year":"1992"},{"key":"b7","series-title":"Cancer: Principles & Practice of Oncology","first-page":"1071","article-title":"Cancer of the testes","volume":"1","author":"Einhorn","year":"1989"},{"key":"b8","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"238","DOI":"10.3171\/jns.1999.91.2.0238","article-title":"Intraoperative validation of functional magnetic resonance imaging and cortical reorganization patterns in patients with brain tumors involving the primary motor cortex.","volume":"91","author":"Fandino","year":"1999"},{"key":"b9","series-title":"Neuroreport","first-page":"729","article-title":"Imagining the impossible: intact motor representations in hemiplegics.","volume":"11","author":"Johnson","year":"1999"},{"key":"b10","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"316","DOI":"10.3171\/jns.1989.71.3.0316","article-title":"Cortical language localization in left, dominant hemisphere. An electrical stimulation mapping investigation in 117 patients.","volume":"71","author":"Ojemann","year":"1989"},{"key":"b11","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"62","DOI":"10.3171\/jns.1991.75.1.0062","article-title":"Postoperative deficits and functional recovery following removal of tumors involving the dominant hemisphere supplementary motor area.","volume":"75","author":"Rostomily","year":"1991"},{"key":"b12","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"35","DOI":"10.3171\/jns.1999.90.1.0035","article-title":"Awake craniotomy with brain mapping as a routine surgical approach to treating patients with supratentorial intraaxial tumors: a prospective trial of 200 cases.","volume":"90","author":"Taylor","year":"1999"},{"key":"b13","series-title":"Br J Neurosurg","doi-asserted-by":"publisher","first-page":"119","DOI":"10.3109\/02688699209002913","article-title":"Cortical mapping and local anesthetic resection as an aid to surgery of low and intermediate grade gliomas.","volume":"6","author":"Walsh","year":"1992"},{"key":"b14","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"761","DOI":"10.3171\/jns.1998.88.4.0761","article-title":"Brain metastasis from germinal tumors of the testis. Case report.","volume":"88","author":"Yoshida","year":"1998"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/95\/6\/article-p1050.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/95\/6\/article-p1050.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/95\/6\/article-p1050.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T21:01:16Z","timestamp":1679864476000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/95\/6\/article-p1050.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2001,12]]},"references-count":14,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/jns.2001.95.6.1050","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[2001,12]]}}}