Glioma in brain functional area often damage important functional structures such as pyramidal tract or arcuate tract and motor cortex during operation.These functional structures can lead to postoperative neurological impairment such as limb paralysis,visual field defect,aphasia and cognitive impairment.Maximum safe tumor resection can not only prolong the overall survival time and progression-free survival time of patients with glioma,but also improve the quality of life of patients after operation.However,the tumor is located in or near brain functional area,how to maximize the resection of glioma in the functional area without impaired neurological function is still a difficult problem in the field of neurosurgery.With the development of science and technology,the surgical treatment technology of functional glioma has developed rapidly.This paper reviews the progress of surgical treatment of functional glioma in recent years from the aspects of intraoperative fluorescence,intraoperative ultrasound,intraoperative awakening anesthesia,intraoperative magnetic resonance imaging and so on.
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