C71.0 C71.1 C71.2 C71.3
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1- Indication for surgical resection of a supratentorial tumor. 2- Suspected supratentorial glioma or metastasis in close vicinity to the corticospinal tract without Infiltration of the precentral gyrus, confirmed in a preoperative magnetic resonance imaging. 3- Missing or mild preoperative paresis (MRC grades 5 or 4) 4- Age => 18 and =< 80 years 5- Ability to give informed consent.
Exclusion criteria
Exclusion criteria: 1- Age 80 years 2- Preoperative MRI is not available 3- Severe preoperative paralysis (MRC grades 1,2 or 3) 4- One of the stimulation modalities is not appropriate for intraoperative application according to the neurosurgeon.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensitivity and specificity of direct cortical and transcranial stimulation, in terms of predicting motor findings upon discharge or 7 days after surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1-Extent of tumor resection. 2-Clinical motor status 24 hours after surgery, on discharge (or 7 days after surgery) and after 3 months. 3-Barthel Index and Karnofsky performance Score, on discharge and after 3 months. 4-Self reported quality of life (EORTC QOL C30) and depressiveness (BDI-V) 3 months after surgery. | — |
Countries
Germany, Switzerland
Contacts
Universitätsmedizin Göttingen