MURAGAKI Yoshihiro    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Visiting Professor
Article types	Review article
Language	English
Peer review	Peer reviewed
Title	Intraoperative Functional Mapping and Monitoring during Glioma Surgery
Journal	Formal name：Neurologia medico-chirurgica Abbreviation：Neurol Med Chir (Tokyo) ISSN code：04708105/13498029
Volume, Issue, Page	55(1),pp.1-13
Author and coauthor	SAITO Taiichi†, MURAGAKI Yoshihiro, MARUYAMA Takashi, TAMURA Manabu, NITTA Masayuki, OKADA Yoshikazu
Publication date	2015/01
Summary	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