人类自我与神经外科:日内瓦的进步和见解
Abdullah Al Awadhi1, Daniel Kiss-Bodolay1, Simone Grannò1
1Division of Neurosurgery, Department of Clinical Neuroscience, University Hospitals of Geneva (HUG), Switzerland.
Brain & spine
|September 2, 2025
概括
在神经外科手术中, 这篇评论建议将自我意识的保护整合到手术规划中,转向以患者为中心的护理模式.
科学领域:
- 神经外科和神经科学
- 认知神经科学
- 神经生理学
背景情况:
- 在神经外科实践中,
- 了解自我意识的神经关联是保护脑瘤手术期间患者身份的关键.
- 这一概念
- 在功能平衡上
- 需要进化,包括自我认同.
研究的目的:
- 综合证据将自我概念纳入神经外科实践.
- 在脑瘤手术期间建立一个识别,监测和保护神经相关的框架.
- 提出一个新的概念,
- 雄辩的
- 皮层包括与自身相关的结构.
主要方法:
- 对神经影像学,神经心理学和手术内神经生理学文献的审查.
- 自我意识的解剖学和功能基础的描述,包括整体感知,多感官集成和皮质网络 (中部前额叶皮质,胰岛,关节).
- 围绕手术评估工具的概要:无意识度量表,无权度量表,自我-其他声音歧视 (SOVD) 范式和心跳唤起的潜力 (HEPs).
主要成果:
- 身体和认知自我意识依赖于特定的大脑区域和过程.
- 经过验证的临床尺度和可量化的标志物,如HEP可以评估自我处理.
- 中间前额叶皮质,胰岛和关节对于自我意识至关重要.
结论:
- 神经外科必须明确地保护自我以及运动,感官和语言功能.
- 转向一个
- 在co-functional身份
- 使患者的个性,行为和意识成为可测量的终点.
- 未来的研究应侧重于实时内科监测HEP,并开发与自身相关的大脑结构的功能风险地图.
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