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Intraoperative Map** and Monitoring Techniques for Intra-Axial Brain Tumors

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Functional Anatomy of the Brain: A View from the Surgeon’s Eye

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Abstract

Surgery for intra-axial tumors necessitates balancing the functional outcomes (neurological and neuropsychological) with the extent of resection. This is even more challenging for tumors close to eloquent regions. Since preoperative imaging-based techniques can be fallacious, intraoperative confirmation of function using map** remains the gold standard. Awake map** using bipolar stimulation was the earliest application of map** techniques in tumor resections. Since then, evolution of the field of intraoperative neurophysiology has expanded the armamentarium of techniques at the disposal of the surgeons. Besides motor, sensory, visual and auditory functions, complex neurocognitive functions can also be assessed intraoperatively. Map** of function is complementary to continuous monitoring of the relevant functions during surgery, both very essential to the eventual goal of achieving the best functional outcomes. This chapter summarizes the various map** and monitoring techniques used (in the awake patient as well as under anesthesia) during surgery for intra-axial supratentorial and brainstem tumors.

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Authors and Affiliations

  1. Neurosurgical Oncology Services, Department of Surgical Oncology, Tata Memorial Centre, Mumbai, India

    Aliasgar Moiyadi, Prakash Shetty, Parthiban Velayutham, Vikas Kumar Singh & Kanchi Jain

  2. Division of Health Sciences, Homi Bhabha National Institute, Mumbai, India

    Aliasgar Moiyadi, Prakash Shetty, Parthiban Velayutham, Vikas Kumar Singh & Kanchi Jain

Authors
  1. Aliasgar Moiyadi
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  2. Prakash Shetty
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  3. Parthiban Velayutham
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  4. Vikas Kumar Singh
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  5. Kanchi Jain
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, King Edward Memorial Hospital and Seth G. S. Medical College, Mumbai, Maharashtra, India

    Abhidha Shah

  2. Department of Neurosurgery, Lilavati Hospital and Research Center, Mumbai, Maharashtra, India

    Atul Goel

  3. Department of Neurosurgery, Fujita Health University Hospital, Aichi, Japan

    Yoko Kato

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© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

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Moiyadi, A., Shetty, P., Velayutham, P., Singh, V.K., Jain, K. (2023). Intraoperative Map** and Monitoring Techniques for Intra-Axial Brain Tumors. In: Shah, A., Goel, A., Kato, Y. (eds) Functional Anatomy of the Brain: A View from the Surgeon’s Eye. Springer, Singapore. https://doi.org/10.1007/978-981-99-3412-6_5

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  • DOI: https://doi.org/10.1007/978-981-99-3412-6_5

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  • Online ISBN: 978-981-99-3412-6

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