术内语言区域映射:皮层-皮层唤起的潜在潜力
Tae-Min Cheon1, Soo-Hyun Yoon2, Myoung-Jeong Kim2
1Department of Neurosurgery, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.
Brain tumor research and treatment
|May 10, 2025
概括
皮质皮质唤起潜力 (CCEP) 监测为在脑瘤切除期间进行手术内语言映射的清醒手术提供了一个有希望的替代方案,有助于最大安全切除 (MSR) 和语言功能保护.
科学领域:
- 神经外科 神经外科
- 神经生理学 神经生理学
- 神经瘤学神经瘤学
背景情况:
- 最大安全切除 (MSR) 对于质瘤的预后至关重要,特别是对于靠近雄辩区域的瘤.
- 在复杂的语言网络内或附近的瘤中,手术内语言映射是必不可少的.
- 清醒的手术是语言绘制的黄金标准,但有局限性.
研究的目的:
- 审查关于用于手术内语言功能评估的皮层-皮层唤起潜力 (CCEP) 监测的现有证据.
- 评估CCEP指导手术在脑瘤切除期间维护语言功能的有效性.
主要方法:
- 在脑外科手术中使用CCEP监测的研究文献综述.
- 分析CCEP在语言区域识别和MSR中的作用.
- 在全身麻醉下对CCEP监测与清醒手术的比较.
主要成果:
- 在全身麻醉下进行语言映射的CCEP监测是清醒手术的可行替代方案.
- 通过CCEP指导的手术显示了在保持语言功能的同时实现MSR的潜力.
- 有证据支持CCEP在复杂的语言网络案例中的有效性.
结论:
- CCEP监测是手术内语言评估的有效工具,特别是当醒着手术不可行时.
- 通过CCEP指导的大脑手术可以帮助实现最大的安全切除,并保留关键的语言功能.
- 进一步的研究可以巩固CCEP在神经外科瘤学中的作用.
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