清醒手术与直接电刺激绘图和实时认知监测功能引导肿瘤切除术：我们如何做

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-09-06 DOI:10.1007/s00701-025-06656-8

Fabien Almairac, Hugues Duffau

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引用次数: 0

摘要

清醒手术是弥漫性低级别胶质瘤切除术的参考，在保留神经认知功能的同时最大限度地切除肿瘤。它也适用于其他脑肿瘤。然而，必须遵循关键的技术要素，以确保术中认知测试的最佳条件和可靠的功能映射。方法对睡眠-觉醒-睡眠技术进行实时认知监测，为安全有效的实施提供实用指导。结论严格的术中标准是优化功能定位的关键。除了肿瘤结果，这种手术理念通过尊重个体大脑组织来保持生活质量，反映了向个性化功能神经肿瘤学的转变。

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Awake surgery with direct electrical stimulation mapping and real-time cognitive monitoring for functionally guided tumor resection: how we do it

Background

Awake surgery is the reference for diffuse low-grade glioma resection, allowing maximal tumor removal while preserving neurocognitive functions. It is also applicable to other brain tumors. However, key technical elements must be followed to ensure optimal conditions for intraoperative cognitive testing and reliable functional mapping.

Method

We describe the asleep–awake–asleep technique with real-time cognitive monitoring and provide practical guidance for safe and effective implementation.

Conclusion

Success relies on rigorous intraoperative standards to optimize functional mapping. Beyond oncological outcomes, this surgical philosophy preserves quality of life by respecting individual brain organization, reflecting a shift toward personalized functional neurooncology.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.