Department of Anesthesiology, Vanderbilt University Medical Center, 1301 Medical Center Drive, 4648 TVC, Nashville, TN 37232, USA.
Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Ave S, 422 MAB, Nashville, TN 37212, USA.
Anesthesiol Clin. 2021 Mar;39(1):227-243. doi: 10.1016/j.anclin.2020.11.013.
Functional neurosurgery is a rapidly growing field that uses surgical resection, ablation, or neuromodulation to treat an assortment of neurologic and psychiatric disorders, the most common of which are movement disorders and epilepsy. Anesthesiologists caring for patients undergoing neurofunctional procedures should be aware of the anesthetic implications of patients' underlying disease as well as procedure-specific concerns, such as the effects of anesthetics on intraoperative neuromonitoring and limited access to patients due to stereotactic frames or intraoperative imaging.
功能神经外科是一个快速发展的领域，它使用手术切除、消融或神经调节来治疗各种神经和精神疾病，其中最常见的是运动障碍和癫痫。为接受神经功能手术的患者提供麻醉的麻醉师应了解患者基础疾病的麻醉影响，以及特定于手术的问题，例如麻醉对术中神经监测的影响，以及由于立体定向框架或术中成像而导致对患者的有限接触。
