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 Detalle_Publicacion

Brain tumors in eloquent areas: A European multicenter survey of intraoperative mapping techniques, intraoperative seizures occurrence, and antiepileptic drug prophylaxis

Abstract: Intraoperative mapping and monitoring techniques for eloquent area tumors are routinely used world wide. Very few data are available regarding mapping and monitoring methods and preferences, intraoperative seizures occurrence and perioperative antiepileptic drug management. A questionnaire was sent to 20 European centers with experience in intraoperative mapping or neurophysiological monitoring for the treatment of eloquent area tumors. Fifteen centers returned the completed questionnaires. Data was available on 2098 patients. 863 patients (41.1%) were operated on through awake surgery and intraoperative mapping, while 1235 patients (58.8%) received asleep surgery and intraoperative electrophysiological monitoring or mapping. There was great heterogeneity between centers with some totally AW oriented (up to 100%) and other almost totally ASL oriented (up to 92%) (31% SD). For awake surgery, 79.9% centers preferred an asleep-awake-asleep anesthesia protocol. Only 53.3% of the centers used ECoG or transcutaneous EEG. The incidence of intraoperative seizures varied significantly between centers, ranging from 2.5% to 54% (p < 0.001). It there appears to be a statistically significant link between the mastery of mapping technique and the risk of intraoperative seizures. Moreover, history of preoperative seizures can significantly increase the risk of intraoperative seizures (p < 0.001). Intraoperative seizures occurrence was similar in patients with or without perioperative drugs (12% vs. 12%, p = 0.2). This is the first European survey to assess intraoperative functional mapping and monitoring protocols and the management of peri- and intraoperative seizures. This data can help identify specific aspects that need to be investigated in prospective and controlled studies.

 Fuente: Neurosurg Rev 2016

Editorial: Springer

 Año de publicación: 2016

Nº de páginas: 12

Tipo de publicación: Artículo de Revista

 DOI: 10.1007/s10143-016-0771-2

ISSN: 0344-5607,1437-2320

Autores/as

SPENA, GIANNANTONIO

SCHUCHT, PHILIPPE

SEIDEL, KATHLEEN

RUTTEN, GEERT-JAN

FREYSCHLAG, CHRISTIAN FRANZ

D´AGATA, FEDERICO

COSTI, EMANULE

ZAPPA, FRANCESCA

FONTANELLA, MARCO

FONTAINE, DENYS

ALMAIRAC, FABIEN

CAVALLO, MICHELE

BONIS, PASQUALE DE

CONESA, GERARDO

FOROGLOU, NICHOLAS

GIL ROBLES, SANTIAGO

MANDONNET, EMANUEL

PICHT, THOMAS

VIEGAS, CATARINA

WAGER, MICHEL

PALLUD, JOHAN