Comprehensive World Brain Mapping Course-Zvi Ram, MD, IFAANS

Video Transcription

Video Summary

In this video, the speaker discusses the techniques and limitations of mapping cognitive functions of patients undergoing surgery. They highlight the importance of patient selection and comprehensive evaluations prior to surgery. During the procedure, they use minimal doses of sedatives and analgesics, and all patients receive anticonvulsants. They perform awake sedation rather than using general anesthesia, stopping sedatives and analgesics to conduct a second neuropsychological evaluation as a baseline before starting the operation. They discuss various mapping methods, including using cortical strip electrodes and subcortical stimulation. They also explore mapping language, vision, emotion, motor function, creativity, and other cognitive functions. They demonstrate how multi-site stimulation can disrupt networks associated with cognitive functions. The speaker mentions complications and points to consider, including the decline in language function before surgery and the importance of patient cooperation. They also mention the decrease in failed mapping procedures and improvements in patient outcomes with their modified approach. The video concludes with gratitude to Mitch Berger for their contributions to the field.

Keywords

mapping cognitive functions

patient selection

awake sedation

cortical strip electrodes

multi-site stimulation

patient outcomes