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[Awake craniotomy].

G L Kobyakov1, A Yu Lubnin1, A S Kulikov1

  • 1Burdenko Neurosurgical Institute, Moscow, Russia.

Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko
|May 18, 2016
PubMed
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Awake craniotomy is a neurosurgical technique that preserves brain function during tumor removal near language centers. This review covers modern literature, highlighting its role in protecting speech and motor skills.

Area of Science:

  • Neurosurgery
  • Neuroscience
  • Cognitive Science

Context:

  • Tumors near critical language and motor areas pose surgical challenges.
  • Preserving eloquent brain function is paramount during tumor resection.
  • Awake craniotomy is a specialized technique for these complex cases.

Purpose:

  • To review the current literature on awake craniotomy.
  • To detail the anatomical and functional considerations for this procedure.
  • To present the integration of neuroimaging, electrophysiology, and neuropsychology.

Summary:

  • Awake craniotomy involves identifying and preserving eloquent brain areas during tumor resection near language centers.
  • The technique utilizes preoperative functional neuroimaging, intraoperative monitoring, and neuropsychological testing.

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  • Surgical strategies focus on active intervention while safeguarding speech and motor functions.

    • Impact:

    • Enhances the preservation of speech and motor functions during brain surgery.
    • Contributes to a deeper understanding of speech psychophysiology.
    • Represents a rapidly advancing field in neurosurgical interventions.