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首页> 外文期刊>Journal of neurosurgical sciences >Intraoperative neurophysiological monitoring for the resection of brain tumors in pediatric patients
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Intraoperative neurophysiological monitoring for the resection of brain tumors in pediatric patients

机译：儿科患者脑肿瘤切除术中的神经生理监测

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Intraoperative neurophysiology (ION) is the gold standard to map and monitor brain functions during supratentorial surgery in critical areas. This is of great value for the surgery of brain gliomas in adults, but the same ION techniques can be used in the pediatric population with respect to both epilepsy and brain tumor surgery. While the principles of most ION techniques are the same for adults and children, the developing nervous system has peculiar characteristics in terms of anatomical and physiological maturation of afferent and efferent pathways within the brain and the spinal cord. Accordingly, some adjustments, particularly with regards to stimulation parameters, are needed in younger children. This paper will review current ION techniques to assist during the resection of brain tumors in children, focusing on the aspects peculiar to mapping and monitoring of sensori-motor functions in the pediatric population. On the other hand, awake surgery, of common use in adult patients when aiming to identify cortical and subcortical cognitive functions, is of very limited use in children and will not be discussed here.
机译：术中神经生理学（ION）是在关键区域进行幕上手术期间测绘和监测脑功能的金标准。这对于成人脑胶质瘤的手术具有巨大的价值，但是就癫痫和脑肿瘤手术而言，相同的ION技术可用于儿科人群。尽管大多数ION技术的原理对于成人和儿童都是相同的，但是在大脑和脊髓内传入和传出路径的解剖和生理成熟方面，发育中的神经系统具有特殊的特征。因此，年幼的孩子需要进行一些调整，特别是关于刺激参数的调整。本文将回顾目前的ION技术，以协助儿童脑肿瘤切除术，重点关注小儿人群感觉运动功能的定位和监测所特有的方面。另一方面，清醒手术在成年患者中普遍用于识别皮层和皮层下的认知功能，在儿童中用途非常有限，这里不再讨论。

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