Article (Scientific journals)
Intraoperative electrical stimulation in awake craniotomy: methodological aspects of current practice.
Szelenyi, Andrea; Bello, Lorenzo; Duffau, Hugues et al.
2010In Neurosurgical Focus, 28 (2), p. 7
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Keywords :
Attitude of Health Personnel; Brain/anatomy & histology/physiology/surgery; Brain Mapping/methods; Brain Neoplasms/surgery; Cerebral Cortex/physiology/surgery; Craniotomy/methods; Efferent Pathways/anatomy & histology/physiology; Electric Stimulation/adverse effects/methods; Glioma/surgery; Humans; Intraoperative Care/methods; Language; Monitoring, Intraoperative; Neural Pathways/physiology; Neurosurgery; Neurosurgical Procedures; Wakefulness
Abstract :
[en] There is increasing evidence that the extent of tumor removal in low-grade glioma surgery is related to patient survival time. Thus, the goal of resecting the largest amount of tumor possible without leading to permanent neurological sequelae is a challenge for the neurosurgeon. Electrical stimulation of the brain to detect cortical and axonal areas involved in motor, language, and cognitive function and located within the tumor or along its boundaries has become an essential tool in combination with awake craniotomy. Based on a literature review, discussions within the European Low-Grade Glioma Group, and illustrative clinical experience, the authors of this paper provide an overview for neurosurgeons, neurophysiologists, linguists, and anesthesiologists as well as those new to the field about the stimulation techniques currently being used for mapping sensorimotor, language, and cognitive function in awake surgery for low-grade glioma. The paper is intended to help the understanding of these techniques and facilitate a comparison of results between users.
Disciplines :
Genetics & genetic processes
Author, co-author :
Szelenyi, Andrea
Bello, Lorenzo
Duffau, Hugues
Fava, Enrica
Feigl, Guenther C.
Galanda, Miroslav
Neuloh, Georg
Signorelli, Francesco
Sala, Francesco
Robe, Pierre ;  Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Département des sciences biomédicales et précliniques
Language :
English
Title :
Intraoperative electrical stimulation in awake craniotomy: methodological aspects of current practice.
Publication date :
2010
Journal title :
Neurosurgical Focus
eISSN :
1092-0684
Publisher :
American Association of Neurological Surgeons, United States
Volume :
28
Issue :
2
Pages :
E7
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 12 March 2014

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