Abstract
Background: Gliomas in the temporo–occipital region are challenging because of proximity to eloquent structures. In Vietnam, intraoperative neuronavigation and mapping are not always available. In this context, the adoption of a surgical strategy based on surface and subcortical anatomical landmarks serves as a "biological GPS", helping to guide maximum safe resection even in the absence of modern assistive technologies. Chúng tôi báo cáo bệnh nhân nam 65 tuổi, thuận tay phải, vào viện vì đau đầu và nhìn mờ. MRI Case presentation: A 65-year-old male presented with progressive headache and blurred vision. MRI showed a right temporo–occipital mass (61 × 31 × 39 mm, 10 mm midline shift). Diffusion tensor imaging (DTI) revealed corticospinal displacement and inferior fronto-occipital fasciculus involvement. He underwent right occipital craniotomy guided by anatomical landmarks, achieving near-total resection. Histopathology confirmed glioblastoma, IDH-wildtype, high Ki-67 index. Results: Postoperatively, the patient improved clinically without new neurological deficit and received adjuvant chemoradiotherapy (Stupp protocol). Conclusion: Maximal safe resection of temporo–occipital glioblastoma is feasible in low-resource settings with meticulous anatomical planning, microsurgical technique, and multimodal treatment.
| Published | 2026-06-28 | |
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| Issue | Vol. 16 No. 3 (2026) | |
| Section | Case Reports | |
| DOI | 10.34071/jmp.2026.3.719 | |
| Keywords | Glioblastoma, Temporo–occipital region, Maximal safe resection, Microsurgical anatomy, Resource-limited setting. U thần kinh đệm, Thái dương – chẩm, Cắt bỏ tối đa an toàn, Giải phẫu vi phẫu, Điều kiện hạn chế nguồn lực |
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