Cortical stimulation of language fields under local anesthesia: Optimizing removal of brain lesions adjacent to speech areas

Arquivos de Neuro-Psiquiatria

Volumn 66, Issue 3 A, 2008, Pages 534-538

  De Amorim, Robson Luis Oliveira ^a,b   De Almeida, Antônio Nogueira ^a   De Aguiar, Paulo Henrique Pires ^a   Fonoff, Erich Talamoni ^a   Itshak, Suely ^a   Fuentes, Daniel ^a   Teixeira, Manoel Jacobsen ^a  

^a UNIVERSITY OF SÃO PAULO   (Brazil)

^b NONE   (Brazil)

Author keywords

Awake craniotomy; Cortical mapping; Speech area; Tumor

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; BRAIN CORTEX; BRAIN DAMAGE; BRAIN DEPTH STIMULATION; BRAIN MAPPING; CLINICAL ARTICLE; CONSCIOUS SEDATION; CONTROLLED STUDY; CRANIOTOMY; DRUG EFFICACY; DRUG SAFETY; EPILEPSY; FEMALE; HUMAN; LOCAL ANESTHESIA; MALE; NEUROIMAGING; POSTOPERATIVE COMPLICATION; STIMULATION; TERATOMA; TREATMENT OUTCOME;

ADOLESCENT; ADULT; ANESTHESIA, LOCAL; ANESTHETICS, LOCAL; BRAIN MAPPING; BRAIN NEOPLASMS; CEREBRAL CORTEX; CONSCIOUS SEDATION; CRANIOTOMY; ELECTRIC STIMULATION; FEMALE; HUMANS; LANGUAGE DISORDERS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; NEUROSURGICAL PROCEDURES; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; SPEECH; YOUNG ADULT;

EID: 52949135169     PISSN: 0004282X     EISSN: 16784227     Source Type: Journal    
DOI: 10.1590/s0004-282x2008000400018     Document Type: Article

References (18)

1. Haglund MM, Berger MS, Shamseldin M, Lettich E, Ojemann GA. Cortical localization of temporal lobe language sites in patients with gliomas. Neurosurgery 1994;34:567-576.
2. Ojemann G, Ojemann J, Lettich B, Berger M. Cortical language localization in left, dominant hemisphereL an electrical stimulation mapping investigation in 117 patients. J Neurosurg 1989;71:316-326.
3. Taylor MD, Bernstein M. Awake craniotomy with brain mapping as the routine surgical approach to treating patients with supratentorial intraaxial tumors: a prospective trial of 200 cases. J Neurosurg 1999;90:35-41.
4. Danks RA, Aglio LS, Gugino LD, Black PM. Craniotomy under local anesthesia and monitored conscious sedation for the resection of tumors involving eloquent cortex. J Neurooncol 2000;49:131-139.
5. Berger M. Functional mapping-guided resection of low-grade gliomas. Clin Neurosurg 1995;42:437-452.
6. Berger MS, Cohen WA, Ojemann GA. Correlation of motor cortex brain mapping data with magnetic resonance imaging. J Neurosurg 1990;72:383-387.
7. Lurito JT, Lowe MJ, Sartorius C, et al. Comparison of fMRI and intraoperative direct cortical stimulation in localization of receptive language areas. J Comput Assist Tomogr 2000; 24:99-105.
8. Duffau H, Capelle L, Sichez J. Intra-operative direct electrical stimulations of the central nervous system: the Salpetriere experience with 60 patients. Acta Neurochir (Wien) 1999;141:1157-1167.
9. Vitaz T , Marx W, Victor JD, Gutin PH. Comparison of conscious sedation and general anesthesia for motor mapping and resection of tumors located near motor córtex. Neurosurg Focus 2003;15:1-5.
10. Gupta DK, Chandra PS, Ojha BK, Sharma BS, Mahapatra AK, Mehta VS. Awake craniotomy versus surgery under general anesthesia for resection of intrinsic lesions of eloquent cortex: a prospective randomised study. Clin Neurol Neurosurg 2007;109:335-343.
11. Brell M, Conesa G, Acebes JJ. Intraoperative cortical mapping in the surgical resection of low-grade gliomas located in eloquent areas. Neurocirugia (Astur) 2003;14:491-503.
12. Keles GE, Lundin DA, Lamborn KR, Chang EF, Ojemann G, Berger MS. Intraoperative subcortical stimulation mapping for hemispherical perirolandic gliomas located within or adjacent to the descending motor pathways: evaluation of morbidity and assessment of functional outcome in 294 patients. J Neurosurg 2004;100:369-375.
13. Guyotat J, Signorelli F, Isnard J, et al. Perioperative cortical stimulation of language fields under local anesthesia in preparation to excision of tumors of the dominant hemisphere. Neurochirurgie 2001;47:523-532.
14. Walsh AR, Schmidt RH, Marsh HT. Cortical mapping and local anesthetic resection as an aid to surgery of low and intermediate gliomas. Br J Neurosurg 1992;6:119-124.
15. Almeida AN, Tavares C, Tibano A, Sasaki S, Murata KN, Marino R Jr. Dexmedetomidine for awake craniotomy without laryngeal mask. Arq Neuropsiquiatr 2005;63:748-750.
16. Ard JL Jr, Bekker AY, Doyle WK. Dexmedetomidine in awake craniotomy: a technical note. Surg Neurol 2005;63:114-117.
17. Mirski MA, Rossell LA, McPherson RW, Traystman RJ. Dexmedetomidine decreases seizure threshold in a rat model of experimental generalized epilepsy. Anesthesiology 1994;81:1422-1428.
18. Miyazaki Y, Adachi T, Kurata J, Utsumi J, Shichino T, Segawa H. Dexmedetomidine reduces seizure threshold during enflurane anaesthesia in cats. Br J Anaesth 1999;82:935-937.