Optimizing brain mapping: integrating real-time neuropsychological assessment in awake craniotomy.

Neslihan Nisa Gecici, Ahmed Habib, Ajay Niranjan, Jeffrey Balzer, Natalie Sherry, Pascal O Zinn
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Abstract

Intraoperative neuropsychological testing (IONT) is a sophisticated method of cognitive mapping during the resection of brain tumors in eloquent areas. Direct electrical stimulation during awake craniotomy is routinely utilized for mapping basic language and sensorimotor function, but the utilization of IONT offers an individualized approach that can yield real-time, comprehensive feedback on various cognitive functions, allowing for a tailored and more extensive tumor resection. In this video, the authors present the case of a 41-year-old male undergoing re-resection for a recurrent right temporal astrocytoma in which IONT played a crucial role. The video can be found here: https://stream.cadmore.media/r10.3171/2024.10.FOCVID24128.

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优化脑制图:在清醒开颅术中整合实时神经心理学评估。
术中神经心理测试(IONT)是脑肿瘤切除过程中认知定位的一种复杂方法。在清醒开颅术中,直接电刺激通常用于绘制基本的语言和感觉运动功能,但IONT的使用提供了一种个性化的方法,可以对各种认知功能产生实时、全面的反馈,从而允许定制和更广泛的肿瘤切除。在本视频中,作者报告了一例41岁男性因复发性右颞星形细胞瘤接受再切除术的病例,IONT在其中发挥了关键作用。视频可以在这里找到:https://stream.cadmore.media/r10.3171/2024.10.FOCVID24128。
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