マルヤマ　タカシ   MARUYAMA Takashi   丸山　隆志    所属   医学部 医学科（東京女子医科大学病院）    職種   非常勤講師
論文種別	総説
言語種別	英語
査読の有無	査読あり
表題	Intraoperative Functional Mapping and Monitoring during Glioma Surgery
掲載誌名	正式名：Neurologia medico-chirurgica 略　 称：Neurol Med Chir (Tokyo) ISSNコード：04708105/13498029
巻・号・頁	55(1),pp.1-13
著者・共著者	SAITO Taiichi†, MURAGAKI Yoshihiro, MARUYAMA Takashi, TAMURA Manabu, NITTA Masayuki, OKADA Yoshikazu
発行年月	2015/01
概要	Glioma surgery represents a significant advance with respect to improving resection rates using new surgical techniques, including intraoperative functional mapping, monitoring, and imaging. Functional mapping under awake craniotomy can be used to detect individual eloquent tissues of speech and/or motor functions in order to prevent unexpected deficits and promote extensive resection. In addition, monitoring the patient's neurological findings during resection is also very useful for maximizing the removal rate and minimizing deficits by alarming that the touched area is close to eloquent regions and fibers. Assessing several types of evoked potentials, including motor evoked potentials (MEPs), sensory evoked potentials (SEPs) and visual evoked potentials (VEPs), is also helpful for performing surgical monitoring in patients under general anesthesia (GA). We herein review the utility of intraoperative mapping and monitoring the assessment of neurological findings, with a particular focus on speech and the motor function, in patients undergoing glioma surgery.
DOI	10.2176/nmc.ra.2014-0215.
PMID	26236798