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[Brain Functional Networks and Awake Craniotomy for Gliomas]
Masashi Kinoshita1, Mitsutoshi Nakada
1Department of Neurosurgery, Kanazawa University.
No Shinkei Geka. Neurological Surgery
|June 7, 2021
Summary
Awake craniotomy preserves brain function during glioma surgery by mapping and protecting neural networks. This technique safeguards both original and adapted brain areas, crucial for communication and cognition.
Area of Science:
- Neurosurgery
- Neuroscience
- Oncology
Background:
- The human brain's complex functional networks are vital for cognition and communication.
- Gliomas infiltrate brain tissue, inducing neural network reorganization (brain plasticity).
- Preserving these networks is critical for patient outcomes.
Purpose of the Study:
- To introduce essential brain neural networks for glioma surgeons.
- To describe awake craniotomy for preserving these networks.
- To discuss future standards in glioma surgery.
Main Methods:
- Intraoperative mapping of various brain functions during awake craniotomy.
- Utilizing advanced neurosurgical techniques and anesthetics.
- Focusing on preserving language and higher-order frontal lobe functions.
Main Results:
- Awake craniotomy allows identification and preservation of innate and adapted brain functional networks.
- Successful preservation of language and right frontal lobe functions is achievable.
- Maintains patient's awake state for real-time functional assessment.
Conclusions:
- Awake craniotomy is a valuable technique for glioma surgery.
- It enables the preservation of critical brain functional networks.
- This approach is essential for maintaining cognitive and communicative abilities post-surgery.
