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Intraoperative electrical stimulation in awake craniotomy: methodological aspects of current practice

机译：清醒开颅手术中术中电刺激：当前实践的方法论方面

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摘要

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.
机译：越来越多的证据表明，低级神经胶质瘤手术中肿瘤切除的程度与患者生存时间有关。因此，在不导致永久性神经后遗症的情况下切除尽可能多的肿瘤的目标是神经外科医师的挑战。对大脑进行电刺激以检测涉及运动，语言和认知功能并位于肿瘤内或其边界的皮质和轴突区域已成为与清醒开颅手术相结合的必不可少的工具。基于文献综述，欧洲低度胶质瘤小组内的讨论以及说明性的临床经验，本文的作者为神经外科医师，神经生理学家，语言学家和麻醉学家以及有关刺激技术的新手提供了概述目前用于低级神经胶质瘤清醒手术中的感觉运动，语言和认知功能的定位。本文旨在帮助理解这些技术并促进用户之间结果的比较。

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