Operating environment for awake brain surgery - Choice of tests

Neuro-Chirurgie
M WagerF Du Boisgueheneuc

Abstract

The indication for awake brain surgery depends on a prerequisite, i.e. recognition that the brain area concerned is truly eloquent, and identification of one or more functions that must be preserved. These functions are determined preoperatively in collaboration with the patient, and neuropsychological tests considered to be the most relevant are performed in the operating room according to each team's technical preferences. The neurosurgeon must choose transfer equipment considered to be relevant. Although a minimal technological environment is an option, a surgical team with great human wealth is essential, composed of specialized personnel with complementary skills. The choice of intraoperative tests, which can be relatively simple for certain primary functions, can be much more difficult for high-level cognitive functions. No consensus has been reached concerning these tests, which must therefore be selected on an individual basis. Intraoperative testing must be based on preoperative multidisciplinary decisions made jointly by the neurosurgeon, neurologist, speech therapist and neuropsychologist. Numerous operating tools and technology transfers are available for neurosurgical teams performing awake brain surgery but none -...Continue Reading

Citations

Nov 12, 2018·Acta neurochirurgica·Marie-Pierre LoitEmmanuel Mandonnet

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