Awake surgery between art and science. Part I: clinical and operative settings

Funct Neurol. 2013 Jul-Sep;28(3):205-21.

Abstract

Awake surgery requires coordinated teamwork and communication between the surgeon and the anesthesiologist, as he monitors the patient, the neuroradiologist as he interprets the images for intraoperative confirmation, and the neuropsychologist and neurophysiologist as they evaluate in real-time the patient's responses to commands and questions. To improve comparison across published studies on clinical assessment and operative settings in awake surgery, we reviewed the literature, focusing on methodological differences and aims. In complex, interdisciplinary medical care, such differences can affect the outcome and the cost-benefit ratio of the treatment. Standardization of intraoperative mapping and related controversies will be discussed in Part II.

Publication types

  • Review

MeSH terms

  • Anesthesia
  • Electric Stimulation
  • Humans
  • Image Processing, Computer-Assisted
  • Immunohistochemistry
  • Magnetic Resonance Imaging
  • Nervous System Diseases / diagnosis
  • Nervous System Diseases / psychology
  • Nervous System Diseases / surgery*
  • Neuropsychological Tests
  • Neurosurgical Procedures* / methods
  • Patient Selection
  • Preoperative Care
  • Treatment Outcome
  • Wakefulness*