She describes knowing what to say but difficulty expressing it. She specifically denies headache, nausea, or vomiting as well as numbness, weakness, or fatigue. She denies fevers, chills, or sweats. She reports a dental visit about 3 months ago for routine tartar removal and recently returned from a job in the far east.
Physical examination is within normal limits.
After 48 hours on steroids, the patient's speech markedly improved. The treatment plan for low grade gliomas in the dominant opercular and insular region remains quite controversial. Intraoperative awake mapping techniques of language and sensorimotor cortex allow a reliable identification of eloquent areas to avoid during a resection to minimize the risk of a postoperative neurological deficit. To learn more about intraoperative mapping click here. A large left frontotemporal craniotomy was performed under propofol anesthesia following infiltration of the scalp with local anesthetic.