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Intraoperative mapping and preservation of executive functions in awake craniotomy: a systematic review.

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Title: Intraoperative mapping and preservation of executive functions in awake craniotomy: a systematic review.
Authors: Tariq, Rabeet (AUTHOR), Aziz, Hafiza Fatima (AUTHOR), Paracha, Shahier (AUTHOR), Ahmed, Noman (AUTHOR), Baqai, Muhammad Waqas Saeed (AUTHOR), Bakhshi, Saqib Kamran (AUTHOR), McAtee, Annabel (AUTHOR), Ainger, Timothy J. (AUTHOR), Mirza, Farhan A. (AUTHOR), Enam, Syed Ather (AUTHOR)
Source: Neurological Sciences. Aug2024, Vol. 45 Issue 8, p3723-3735. 13p.
Subjects: Executive function, Craniotomy, Brain mapping, Cognitive ability, Quality of life, Epilepsy
Abstract: Awake craniotomy (AC) allows intraoperative brain mapping (ioBM) for maximum lesion resection while monitoring and preserving neurological function. Conventionally, language, visuospatial assessment, and motor functions are mapped, while the assessment of executive functions (EF) is uncommon. Impaired EF may lead to occupational, personal, and social limitations, thus, a compromised quality of life. A comprehensive literature search was conducted through Scopus, Medline, and Cochrane Library using a pre-defined search strategy. Articles were selected after duplicate removal, initial screening, and full-text assessment. The demographic details, ioBM techniques, intraoperative tasks, and their assessments, the extent of resection (EOR), post-op EF and neurocognitive status, and feasibility and potential adverse effects of the procedure were reviewed. The correlations of tumor locations with intraoperative EF deficits were also assessed. A total of 13 studies with intraoperative EF assessment of 351 patients were reviewed. Awake-asleep-awake protocol was most commonly used. Most studies performed ioBM using bipolar stimulation, with a frequency of 60 Hz, pulse durations ranging 1–2 ms, and intensity ranging 2–6 mA. Cognitive function was monitored with the Stroop task, spatial-2-back test, line-bisection test, trail-making-task, and digit-span tests. All studies reported similar or better EOR in patients with ioBM for EF. When comparing the neuropsychological outcomes of patients with ioBM of EF to those without it, all studies reported significantly better EF preservation in ioBM groups. Most authors reported EF mapping as a feasible tool to obtain satisfactory outcomes. Adverse effects included intraoperative seizures which were easily controlled. AC with ioBM of EF is a safe, effective, and feasible technique that allows satisfactory EOR and improved neurocognitive outcomes with minimal adverse effects. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Intraoperative mapping and preservation of executive functions in awake craniotomy: a systematic review.
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  Data: <searchLink fieldCode="AR" term="%22Tariq%2C+Rabeet%22">Tariq, Rabeet</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aziz%2C+Hafiza+Fatima%22">Aziz, Hafiza Fatima</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Paracha%2C+Shahier%22">Paracha, Shahier</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ahmed%2C+Noman%22">Ahmed, Noman</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Baqai%2C+Muhammad+Waqas+Saeed%22">Baqai, Muhammad Waqas Saeed</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bakhshi%2C+Saqib+Kamran%22">Bakhshi, Saqib Kamran</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McAtee%2C+Annabel%22">McAtee, Annabel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ainger%2C+Timothy+J%2E%22">Ainger, Timothy J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mirza%2C+Farhan+A%2E%22">Mirza, Farhan A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Enam%2C+Syed+Ather%22">Enam, Syed Ather</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Aug2024, Vol. 45 Issue 8, p3723-3735. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Executive+function%22">Executive function</searchLink><br /><searchLink fieldCode="DE" term="%22Craniotomy%22">Craniotomy</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+mapping%22">Brain mapping</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+ability%22">Cognitive ability</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Epilepsy%22">Epilepsy</searchLink>
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  Label: Abstract
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  Data: Awake craniotomy (AC) allows intraoperative brain mapping (ioBM) for maximum lesion resection while monitoring and preserving neurological function. Conventionally, language, visuospatial assessment, and motor functions are mapped, while the assessment of executive functions (EF) is uncommon. Impaired EF may lead to occupational, personal, and social limitations, thus, a compromised quality of life. A comprehensive literature search was conducted through Scopus, Medline, and Cochrane Library using a pre-defined search strategy. Articles were selected after duplicate removal, initial screening, and full-text assessment. The demographic details, ioBM techniques, intraoperative tasks, and their assessments, the extent of resection (EOR), post-op EF and neurocognitive status, and feasibility and potential adverse effects of the procedure were reviewed. The correlations of tumor locations with intraoperative EF deficits were also assessed. A total of 13 studies with intraoperative EF assessment of 351 patients were reviewed. Awake-asleep-awake protocol was most commonly used. Most studies performed ioBM using bipolar stimulation, with a frequency of 60 Hz, pulse durations ranging 1–2 ms, and intensity ranging 2–6 mA. Cognitive function was monitored with the Stroop task, spatial-2-back test, line-bisection test, trail-making-task, and digit-span tests. All studies reported similar or better EOR in patients with ioBM for EF. When comparing the neuropsychological outcomes of patients with ioBM of EF to those without it, all studies reported significantly better EF preservation in ioBM groups. Most authors reported EF mapping as a feasible tool to obtain satisfactory outcomes. Adverse effects included intraoperative seizures which were easily controlled. AC with ioBM of EF is a safe, effective, and feasible technique that allows satisfactory EOR and improved neurocognitive outcomes with minimal adverse effects. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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