Comprehensive World Brain Mapping Course-Lorenzo Bello, MD, PhD

Video Transcription

Video Summary

In this video, the speaker talks about patient selection for a specific type of surgery. They consider factors such as social background, education, symptoms, seizure history, and tumor characteristics. The preoperative protocol involves assessing preoperative plasticity to determine the feasibility of resection. The bone flap is important and should include critical vascular supply and functional landmarks. Patient positioning varies depending on the tumor location. The surgical mapping strategy includes cortical and subcortical mapping. Motor mapping focuses on the cortical spinal tract and can be done using techniques such as low-frequency and high-frequency stimulation. The choice of technique depends on the clinical context. The speaker also discusses mapping of non-primary motor areas and the importance of motor cognition. Cognitive mapping can be done using techniques such as low-frequency and high-frequency stimulation. The speaker mentions the feasibility of these techniques in treating N1 tumors and their potential benefits in terms of extent of resection and post-operative deficit reduction. Language mapping is also discussed briefly. The speaker acknowledges the need for an awake patient in most cases but mentions exceptions for cases involving the primary motor cortex. They also mention the importance of maintaining executive function and memory in patients with long histories or undergoing supratotal resection. The video concludes with acknowledgments to the speaker's team and university.

Keywords

patient selection

surgery

preoperative protocol

bone flap

surgical mapping strategy