期刊
NEUROLOGIA MEDICO-CHIRURGICA
卷 55, 期 1, 页码 1-13出版社
JAPAN NEUROSURGICAL SOC
DOI: 10.2176/nmc.ra.2014-0215
关键词
awake craniotomy; functional mapping; cortico-cortical evoked potential; plasticity; motor evoked potentials
资金
- Japan Science and Technology Agency, CREST
Glioma surgery represents a significant advance with respect to improving resection rates using new surgical techniques, including intraoperative functional mapping, monitoring, and imaging. Functional mapping under awake craniotomy can be used to detect individual eloquent tissues of speech and/or motor functions in order to prevent unexpected deficits and promote extensive resection. In addition, monitoring the patient's neurological findings during resection is also very useful for maximizing the removal rate and minimizing deficits by alarming that the touched area is close to eloquent regions and fibers. Assessing several types of evoked potentials, including motor evoked potentials (MEPs), sensory evoked potentials (SEPs) and visual evoked potentials (VEPs), is also helpful for performing surgical monitoring in patients under general anesthesia (GA). We herein review the utility of intraoperative mapping and monitoring the assessment of neurological findings, with a particular focus on speech and the motor function, in patients undergoing glioma surgery.
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