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Journal of Neurosurgical Sciences 2015 June;59(2):129-39

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Intraoperative mapping and monitoring in supratentorial tumor surgery

Ringel F. ¹, Sala F. ² ✉

¹ Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, München, Germany; ² Department of Neurosurgery, University of Verona, Verona, Italy

With the increasing strive for complete resections of supratentorial low or high-grade gliomas, the necessity for intraoperative electrical stimulation methods to map and monitor functional important cortical or subcortical brain areas increased. While many brain functions can be assessed during awake surgery using electrical stimulation, motor function as well as visual function can be mapped and monitored in the asleep patient, as well. Several different methods reviewed in this article are available which lead to an improved functional outcome while increasing the extent of tumor resection and thereby potentially the oncological outcome of the patient.