{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T13:38:36Z","timestamp":1792417116994,"version":"4.4.0"},"reference-count":29,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,12]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> The goal of this study is to report the incidence and clinical evolution of neurological deficits in patients who underwent resection of gliomas confined to the parietal lobe.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> Patient demographics, findings of serial neurological examinations, tumor location and neuroimaging characteristics, extent of resection, and surgical outcomes were tabulated by reviewing inpatient and office records, as well as all pre- and postoperative magnetic resonance (MR) images obtained in 28 consecutive patients who underwent resection of a glial neoplasm found on imaging studies to be confined to the parietal lobe. Neurological deficits were correlated with hemispheric dominance, location of the lesion within the superior or inferior parietal lobules, subcortical extension, and involvement of the postcentral gyrus.<\/jats:p>\n<jats:p content-type=\"fine-print\">The tumors were located in the dominant hemisphere in 18 patients (64%); had a mean diameter of 39 mm (range 14\u201369 mm); were isolated to the superior parietal lobule in six patients (21%) and to the inferior parietal lobule in eight patients (29%); and involved both lobules in 14 patients (50%). Gross-total resection, documented by MR imaging, was achieved in 24 patients (86%). Postoperatively, nine patients (32%) experienced new neurological deficits, whereas seven (25%) had an improvement in their preoperative deficit. A correlation was noted between larger tumors and the presence of neurological deficits both before and after resection. Postoperatively higher-level (association) parietal deficits were noted only in patients with tumors involving both the superior and inferior parietal lobules in the dominant hemisphere. At the 3-month follow-up examination, five of nine new postoperative deficits had resolved.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> Neurological deterioration and improvement occur after resection of parietal lobe gliomas. Parietal lobe association deficits, specifically the components of Gerstmann syndrome, are mostly associated with large tumors that involve both the superior and inferior parietal lobules of the dominant hemisphere. New hemineglect or sensory extinction was not noted in any patient following resection of lesions located in the nondominant hemisphere. Nevertheless, primary parietal lobe deficits (for example, a visual field loss or cortical sensory syndrome) occurred in patients regardless of hemispheric dominance.<\/jats:p>","DOI":"10.3171\/jns.2005.103.6.1010","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T18:02:48Z","timestamp":1242237768000},"page":"1010-1017","source":"Crossref","is-referenced-by-count":36,"title":["Resection of parietal lobe gliomas: incidence and evolution of neurological deficits in 28 consecutive patients correlated to the location and morphological characteristics of the tumor"],"prefix":"10.3171","volume":"103","author":[{"given":"Stephen M.","family":"Russell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Elliott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Forshaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John G.","family":"Golfinos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1136\/jnnp.24.2.176","article-title":"The fiction of the \u201cGerstmann Syndrome\u201d.","volume":"24","author":"Benton","year":"1961"},{"key":"b2","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"915","DOI":"10.3171\/jns.1999.91.6.0915","article-title":"Presurgical motor and somatosensory cortex mapping with functional magnetic resonance imaging and positron emission tomography.","volume":"91","author":"Bittar","year":"1999"},{"key":"b3","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"45","DOI":"10.3171\/jns.2000.92.1.0045","article-title":"Somatosensory representation in patients who have undergone hemispherectomy: a functional magnetic resonance imaging study.","volume":"92","author":"Bittar","year":"2000"},{"key":"b4","series-title":"Neuroscience","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1016\/S0306-4522(02)00022-2","article-title":"Dynamic representational plasticity in sensory cortex.","volume":"111","author":"Calford","year":"2002"},{"key":"b5","series-title":"The Parietal Lobes.","volume":"1","author":"Critchley","year":"1953"},{"key":"b6","series-title":"J Neurooncol","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1023\/A:1026577518902","article-title":"Craniotomy under local anesthesia and monitored conscious sedation for the resection of tumors involving eloquent cortex.","volume":"49","author":"Danks","year":"2000"},{"key":"b7","series-title":"Cognition","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/S0010-0277(00)00124-4","article-title":"Perceptual awareness and its loss in unilateral neglect and extinction.","volume":"79","author":"Driver","year":"2001"},{"key":"b8","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1050","DOI":"10.3171\/jns.2001.95.6.1050","article-title":"Recovery from complete hemiplegia following resection of a retrocentral metastasis: the prognostic value of intraoperative cortical stimulation.","volume":"95","author":"Duffau","year":"2001"},{"key":"b9","series-title":"Neurochirurgie","first-page":"534","article-title":"R\u00e9cuperation fonctionelle apr\u00e8s resection de gliomes infiltrant l'aire somato-sensorielle primaire (SI). 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