Intraoperative cortical stimulation in brain tumor surgery

Nilsson D, Bergh C, Bjellvi J, Fridriksson S, Svanberg T, Thordstein M, Wikberg Adania U, Sjögren P
Record ID 32013000124
English
Authors' objectives: Is awake craniotomy with intraoperative cortical/subcortical mapping of functional brain areas better than craniotomy under general anesthesia, or two-step procedure with 'cortical grid' (another method for cortical mapping), or biopsy followed by radiation therapy/expectancy, regarding mortality, postoperative neurological deficits, gross total resection of tumor, or quality of life, in adults and adolescents with brain tumor adjacent to a region with motor and/or speech function?
Authors' recommendations: Awake craniotomy with intraoperative cortical/subcortical mapping may result in reduced rate of permanent postoperative neurological deficits, a higher frequency of gross total resections, and lower tumor-related mortality than craniotomy under general anesthesia (low quality of evidence). It is uncertain if awake craniotomy with intraoperative mapping results in any difference in intra and postoperative mortality as compared to surgery under general anesthesia (very low quality of evidence).
Details
Project Status: Completed
Year Published: 2012
URL for published report: http://www.sahlgrenska.se/upload/SU/HTA-centrum/HTA-rapporter/HTA%20report%20Intraoperative%20cortical%20stimulation%202012-11-29%20%20incl.app%20till%20publicering.pdf
URL for additional information: http://www.sahlgrenska.se/sv/SU/Forskning/HTA-centrum/Hogerkolumn-undersidor/Publicerade-rapporter/
English language abstract: An English language summary is available
Publication Type: Not Assigned
MeSH Terms
  • Brain Neoplasms
  • Motor Cortex
  • Neurosurgical Procedures
  • Transcranial Magnetic Stimulation
  • Intraoperative Care
Contact
Organisation Name: The Regional Health Technology Assessment Centre
Contact Address: The Regional Health Technology Assessment Centre, Region Vastra Gotaland, HTA-centrum, Roda Straket 8, Sahlgrenska Universitetssjukhuset, 413 45 GOTHENBORG, Sweden
Contact Name: hta-centrum@vgregion.se
Contact Email: hta-centrum@vgregion.se
Copyright: The Regional Health Technology Assessment Centre (HTA-centrum), Region Vastra Gotaland
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.