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Mapping the Brain During Awake Surgery for Patients with Neurological Disorders Including Brain Tumors

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Principles of Neuro-Oncology

Abstract

Awake mapping of the brain using cortical and subcortical direct electrical stimulation is considered the gold standard treatment for patients with brain lesions located in eloquent regions. In surgical neuro-oncology, awake craniotomies with brain mapping have proven to be an effective tool to achieve improved survival through greater extent of resection and preserving quality of life. Mapping of the brain cortex and white matter tracts also allows a better understanding of the neural networks that underlie high-level cognitive processes, such as language, executive functions, and others. Current and future advances will undoubtedly lead to more beneficial surgical procedures; however, neurosurgeons should always remember that patient needs are of utmost importance and should guide final decisions.

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Change history

  • 01 April 2021

    The chapter was published inadvertently with the wrong video legends and now the legends are updated as below:

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Authors and Affiliations

  1. Department of Neurological Surgery, Mayo Clinic, Jacksonville, FL, USA

    Henry Ruiz-Garcia, Erik Middlebrooks, David Sabsevitz, Perry Bechtle & Alfredo Quinones-Hinojosa

  2. Department of Radiology, Mayo Clinic, Jacksonville, FL, USA

    Erik Middlebrooks

  3. Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, FL, USA

    David Sabsevitz

  4. Department of Anesthesiology, Mayo Clinic, Jacksonville, FL, USA

    Perry Bechtle

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  1. Henry Ruiz-Garcia
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Correspondence to Alfredo Quinones-Hinojosa .

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Editors and Affiliations

  1. Department of Neurosurgery, Aurora Neuroscience Innovation Institute, Milwaukee, WI, USA

    Alejandro Monroy-Sosa

  2. Department of Neurosurgery, Aurora Neuroscience Innovation Institute, Milwaukee, WI, USA

    Srikant S. Chakravarthi

  3. Instituto Nacional de Cancerología, Mexico City, Mexico

    Jaime G. de la Garza-Salazar

  4. Instituto Nacional de Cancerología, Mexico City, Mexico

    Abelardo Meneses Garcia

  5. Neeka Health, LLC, Milwaukee, WI, USA

    Amin B. Kassam

21.1 Electronic Supplementary Material

Surgical Technique for Awake Mapping in a case of high-grade glioma patient. (MP4 7664 kb)

Three-dimensional Reconstruction of the tumor and simulated white matter tracts around the lesion

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Ruiz-Garcia, H., Middlebrooks, E., Sabsevitz, D., Bechtle, P., Quinones-Hinojosa, A. (2021). Mapping the Brain During Awake Surgery for Patients with Neurological Disorders Including Brain Tumors. In: Monroy-Sosa, A., Chakravarthi, S.S., de la Garza-Salazar, J.G., Meneses Garcia, A., Kassam, A.B. (eds) Principles of Neuro-Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-54879-7_21

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