AANS Beyond 2021: Full Collection-Awake surgery for low grade glioma A Connectome-based resection; How I do it

Video Transcription

Video Summary

The summary of the video is as follows: In the video, the speaker discusses his experience with wake surgery for Le Grey Glioma and how he implements a connectome-based surgical approach. He highlights the need for early surgery and the concept of supratotorization, where a margin is taken around the preoperative flare abnormality. Intraoperative mapping and understanding the functional connectome at the individual level are essential to preserving the quality of life of patients. The speaker emphasizes the importance of conducting a systematic neuropsychological examination before treatment as cognitive disturbances can develop in patients enjoying a normal life. The survival rate for Le Grey Glioma has significantly increased with early and maximal resection. The speaker advocates for a connectomic approach to brain processing and the importance of preserving projection fibers and association fibers. The speaker shares his philosophy of removing brain areas invaded by chronic tumor disease based on functional cortical and subcortical boundaries identified in real time. He discusses various tasks used in the operating theater to map different functions and networks. The speaker presents examples of successful resections and the importance of post-operative cognitive rehabilitation. He stresses the need for neurosurgeons to be neuroscientists and understand the functional connectome at an individual level for better outcomes. The speaker also discusses the use of atlases and software to aid in pre-operative planning. In conclusion, the speaker emphasizes the importance of preserving the quality of life of Le Grey Glioma patients through extensive resection and understanding the interplay between the connectome and the disease's natural history.

Keywords

wake surgery

Le Grey Glioma

connectome-based surgical approach

supratotorization

intraoperative mapping

functional connectome

neuropsychological examination