In recent years, advances in cortical-subcortical mapping, intraoperative neurophysiology, and neuropsychology have increased the ability to remove intrinsic brain tumors, expanding indications and maximizing the extent of resection. This has provided a significant improvement in progression-free survival, time of malignant transformation (in low-grade gliomas), and overall survival. Although current techniques enable preservation of language and motor functions during surgery, the maintenance of a complex set of functions defined with the term cognition is not always achievable. Cognition is defined as every neural process underlying a high human function and includes motor haptic and visuospatial functions, memory, social interactions, empathy, and emotions. In this regard, an extensive preoperative and postoperative neuropsychological evaluation is strongly suggested to assess cognitive impairment due to tumor growth, to assess surgical result, and to plan cognitive rehabilitation. This article discusses the main recent innovations introduced for cognitive mapping with the aim to preserve cognitive functions, which are essential to maintain a high quality of life.

Innovation in Neurosurgery : The Concept of Cognitive Mapping / M. Rossi, M.C. Nibali, F. Torregrossa, L. Bello, G. Grasso. - In: WORLD NEUROSURGERY. - ISSN 1878-8750. - 131(2019), pp. 364-370. [10.1016/j.wneu.2019.06.177]

Innovation in Neurosurgery : The Concept of Cognitive Mapping

M. Rossi
Primo
;
L. Bello;
2019

Abstract

In recent years, advances in cortical-subcortical mapping, intraoperative neurophysiology, and neuropsychology have increased the ability to remove intrinsic brain tumors, expanding indications and maximizing the extent of resection. This has provided a significant improvement in progression-free survival, time of malignant transformation (in low-grade gliomas), and overall survival. Although current techniques enable preservation of language and motor functions during surgery, the maintenance of a complex set of functions defined with the term cognition is not always achievable. Cognition is defined as every neural process underlying a high human function and includes motor haptic and visuospatial functions, memory, social interactions, empathy, and emotions. In this regard, an extensive preoperative and postoperative neuropsychological evaluation is strongly suggested to assess cognitive impairment due to tumor growth, to assess surgical result, and to plan cognitive rehabilitation. This article discusses the main recent innovations introduced for cognitive mapping with the aim to preserve cognitive functions, which are essential to maintain a high quality of life.
Cognition; Eloquent areas; Glioma surgery; Neuropsychological tests; Brain Mapping; Brain Neoplasms; Cognition Disorders; Electric Stimulation Therapy; Executive Function; Glioma; Humans; Margins of Excision; Neuropsychological Tests; Neurosurgical Procedures; Organ Sparing Treatments; Postoperative Complications; Semantics; Spatial Processing
Settore MED/27 - Neurochirurgia
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/904067
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