PDF(Pubmed)
Abstract：
Awake surgery has become a standard practice for managing diffuse low-grade gliomas (LGGs), particularly in eloquent brain areas, and is established as a gold standard technique for left-dominant-hemisphere tumors. However, the intraoperative monitoring of functions in the right non-dominant hemisphere (RndH) is often neglected, highlighting the need for a better understanding of neurocognitive testing for complex functions in the right hemisphere. This article aims to comprehensively review the current literature on the benefits of awake craniotomy in gliomas of the non-dominant right hemisphere. A systematic review was conducted using the PubMed and ScienceDirect databases with keywords such as \"right hemisphere\", \"awake surgery\", \"direct electrical brain stimulation and mapping\", and \"glioma\". The search focused on anatomical and surgical aspects, including indications, tools, and techniques of awake surgery in right cerebral hemisphere gliomas. The literature search identified 74 sources, including original articles, books, monographs, and review articles. Two papers reported large series of language assessment cases in 246 patients undergoing awake surgery with detailed neurological semiology and mapping techniques, while the remaining studies were predominantly neuroradiological and neuroimaging in nature. Awake craniotomy for non-dominant-hemisphere gliomas is an essential tool. The term \"non-dominant\" should be revised, as this hemisphere contributes significantly to essential cognitive functions in the human brain.
摘要：
清醒手术已成为治疗弥漫性低度胶质瘤（LGG）的标准做法，特别是在雄辩的大脑区域，并被确立为左优势半球肿瘤的黄金标准技术。然而,术中监测右非优势半球（RndH）的功能常常被忽视，强调需要更好地理解右半球复杂功能的神经认知测试。本文旨在全面回顾当前有关清醒开颅术在非优势性右半球神经胶质瘤中的益处的文献。使用PubMed和ScienceDirect数据库进行了系统审查，关键字为“右半球”，“清醒手术”，“直接电大脑刺激和绘图”，和“神经胶质瘤”。搜索集中在解剖和手术方面，包括适应症，工具,右脑半球胶质瘤的清醒手术技术。文献检索确定了74个来源，包括原创文章，书籍,专著,并审查文章。两篇论文报道了使用详细的神经符号学和绘图技术进行清醒手术的246名患者的语言评估案例，而其余研究主要是神经放射学和神经影像学。清醒开颅手术治疗非优势半球胶质瘤是必不可少的工具。“非支配”一词应修改，因为这个半球对人脑的基本认知功能有很大的贡献。
