Selection of intraoperative tasks for awake mapping based on relationships between tumor location and functional networks: A review

Alejandro Fernández Coello, Sylvie Moritz-Gasser, Juan Martino, Matteo Martinoni, Ryosuke Matsuda, Hugues Duffau

Research output: Contribution to journalArticle

Abstract

Intraoperative electrical brain mapping is currently the most reliable method to identify eloquent cortical and subcortical structures at the individual level and to optimize the extent of resection of intrinsic brain tumors. The technique allows the preservation of quality of life, not only allowing avoidance of severe neurological deficits but also facilitating preservation of high neurocognitive functions. To accomplish this goal, however, it is crucial to optimize the selection of appropriate intraoperative tasks, given the limited intrasurgical awake time frame. In this review, the authors' aim was to propose specific parameters that could be used to build a personalized protocol for each patient. They have focused on lesion location and relationships with functional networks to guide selection of intrasurgical tasks in an effort to increase reproducibility among neurooncological centers.

Original languageEnglish
Pages (from-to)1380-1394
Number of pages15
JournalJournal of Neurosurgery
Volume119
Issue number6
DOIs
Publication statusPublished - Dec 2013

Keywords

  • Awake surgery
  • Cognition
  • Direct electrical stimulation
  • Glioma
  • Intraoperative brain mapping
  • Oncology
  • Subcortical connectivity

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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