Хирургия в сознании в нейроонкологии. Часть 2. Функциональное интраоперационное картирование

Хирургию с пробуждением обычно применяют для сохранения речи у больного. С этой целью используют различные тесты, выбор которых зависит от расположения опухоли. У многоязычных пациентов вербальные центры обычно имеют различную локализацию. Картирование каждого из них необходимо для сохранения способности к общению. Для исследования зрения применяют тест с показом цветных точек или рисунков на экране монитора, разделенного на 4 части. Такое тестирование позволяет одновременно оценить функции зрения и речи.

Картирование моторной зоны у больных в сознании позволяет более комплексно оценить двигательную функцию, включая планирование движений, проприоцептивный контроль и равновесие. Электростимуляция чувствительного центра у пациентов в состоянии бодрствования дает возможность дифференцировки разных видов чувствительности.

Картирование и сохранение когнитивных функций, памяти, внимания и способности к калькуляции чисел повышают шанс сохранить профессиональные навыки и качество жизни после операции.

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