Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA; Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA, USA.
Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA; Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA, USA.
Neurosurg Clin N Am. 2021 Jan;32(1):75-81. doi: 10.1016/j.nec.2020.09.001. Epub 2020 Nov 5.
Intraoperative functional mapping of tumor and peri-tumor tissue is a well-established technique for avoiding permanent neurologic deficits and maximizing extent of resection. Motor, language, and other cognitive domains may be assessed with intraoperative tasks. This article describes techniques used for motor and language mapping including awake mapping considerations in addition to less traditional intraoperative testing paradigms for cognition. It also discusses complications associated with mapping and insights into complication avoidance.
术中肿瘤和肿瘤周围组织的功能定位是一种成熟的技术,可以避免永久性神经功能缺损,最大限度地切除肿瘤。术中可以使用各种任务来评估运动、语言和其他认知域。本文描述了运动和语言定位所使用的技术,包括清醒手术时的考虑因素,以及用于认知的非传统术中测试范例。本文还讨论了与定位相关的并发症以及避免并发症的见解。