AANS Beyond 2021: Scientific Papers Collection-Awake mapping for maximal safe resection of low-grade glioma: A connectomal based surgical approach About over 1100 procedures

Awake mapping for maximal safe resection of low-grade glioma: A connectomal based surgical approach About over 1100 procedures

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Video Summary

The speaker discusses their experience with wake mapping for the rejection of low-grade glioma in a connectomal-based surgical approach. They highlight the importance of early surgery and the concept of supratotorization, taking a margin around the abnormality on preoperative MRI. They emphasize the need for a mapping of the cortex and white matter tracts to preserve or improve the quality of life. The speaker mentions the limitations of fMRI and DTI and explains their preference for wake mapping through electrical stimulation. They share positive outcomes in terms of survival, cognitive improvement, and epilepsy impact. The speaker also discusses the importance of understanding neuroplasticity and the limitations of plastic potential. Their goal is to navigate within the connectome of each patient during surgery and preserve critical networks for a return to normal life. They mention the development of an atlas and software for pre-planning and stress the need to understand relationships within and between networks, particularly between the hemispheres. The speaker concludes that the main aim is to do cognitive monitoring in order to preserve quality of life and increase median survival. No credits are mentioned.

Keywords

wake mapping

low-grade glioma

connectomal-based surgical approach

supratotorization

neuroplasticity