BookAhmad Pour-Rashidi, Judith Aarabi, editors.
Summary: This book covers all aspects of awake craniotomy, including preoperative management, intraoperative handling, and postoperative follow-ups. It will be discussed preoperative preparedness, essential neurocognitive assessments, and how to provide a patient for cooperative operation step by step. Intraoperative requirements and appropriate neuro-monitoring will be pointed out along with surgical nuances accompany by helpful photographs. Finally, the postoperative management, how we should control the patient in the short-term and long-term, and what investigations are necessary postoperatively will be explained. This book will assist neurosurgeons in negotiating the steep learning curve involved in gaining the skills needed to perform awake surgery of brain tumors, which offers significant advantages in terms of avoidance of preventable neurological deficits besides obtaining optimal outcome. Indeed, primary audiences of this work are neurosurgeons, neurologists, neuroscientists, and neuro-anesthesiologists, and it will contain neuropsychiatry, neurosciences, neurology, neurosurgery, anesthesiology, and neurophysiologic contents.
Contents:
Intro
Foreword
Contents
History of Awake Craniotomy
1 Introduction
2 Awake Trephination in the Ancient Era
3 Delineation of Brain Structures and Evolving Functional Neuroanatomy and Neuropsychology
4 Advanced Awake Craniotomy: A Perspective of Brain Mapping and Neuroanesthesia
5 Conclusion
References
Awake Craniotomy for Tumor Surgery
1 Introduction
2 Indications and Patient Selection
3 Glioma
3.1 Low-Grade Glioma (LGG)
3.2 High-Grade Glioma (HGG)
4 Metastasis 5 Technical Nuances
6 Intraoperative Adjuncts
6.1 Intraoperative Mapping Techniques
6.2 Intraoperative MRI
6.3 Intraoperative Ultrasound (IOUS)
6.4 Fluorescence-Guided Surgery (FGS)
7 Complications and Morbidities
8 Efficacy and Outcome
9 Conclusion
References
Awake Craniotomy in Epilepsy Surgery
1 Introduction
2 Indications and Patient Selection
3 Technical Nuances
4 Intraoperative Adjuncts
4.1 SEEG Recordings and Electrical Mapping
4.2 Intraoperative Stimulation Mapping Considerations 4.3 Discrepancies Between SEEG and Intraoperative Stimulation
5 Complications and Morbidities
6 Efficacy and Outcome
7 Conclusion
References
Patient Selection for Awake Craniotomy
1 Introduction
2 Patient-Related Factors
2.1 Mental/Neurologic Status and Post-traumatic Stress Disorder (PTSD)
2.2 Seizure and Antiepileptic Drug Use History
2.3 Pregnancy
2.4 Age
2.5 Weight
2.6 Preoperative KPS Score
2.7 Other Unspecified Conditions
3 Lesion-Related Factors
3.1 Location 3.2 Size and Multiplicity of the Lesion
3.3 Pathology
4 Conclusion
References
Preoperative Conventional and Advanced Neuroimaging for Awake Craniotomy
1 Introduction
2 Conventional Brain Tumor Imaging
3 Functional Imaging for Eloquent Areas
4 Functional Anatomy of Language
5 Pre-surgical fMRI for Language
6 Language Paradigms
6.1 Sentence Completion
6.2 Silent Word Generation
6.3 Rhyming
6.4 Object Naming
6.5 Auditory Responsive Naming
6.6 Action Naming 6.7 Reverse Word Reading (RWR)
6.8 Passive Story Listening Task
7 Resting-State fMRI (rs-fMRI)
8 Functional Anatomy of the Motor System
9 Motor and Sensory Tasks
10 Diffusion Tensor Imaging
10.1 Language Network
10.1.1 Dorsal Pathway
10.1.2 Arcuate Fasciculus (AF)
10.1.3 Inferior Longitudinal Fasciculus (ILF)
10.1.4 Inferior Frontal Occipital Fasciculus (IFOF)
10.1.5 Uncinate Fasciculus (UF)
10.1.6 Frontal Aslant
10.2 Motor Pathways
11 Physiologic Tumor Imaging
11.1 Perfusion MRI