|
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 Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Nilsson D, Bergh C, Bjellvi J, Fridriksson S, Svanberg T, Thordstein M, Wikberg Adania U, Sjögren P. Intraoperative cortical stimulation in brain tumor surgery. Gothenburg: The Regional Health Technology Assessment Centre (HTA-centrum). HTA-rapport 2012:51. 2012 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' conclusions 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). Indexing Status Subject indexing assigned by CRD MeSH Brain Neoplasms; Electric Stimulation Therapys; Intraoperative Care; Motor Cortex; Neurosurgical Procedures; Transcranial Magnetic Stimulation Language Published English Country of organisation Sweden English summary An English language summary is available. Address for correspondence The Regional Health Technology Assessment Centre, Region Vastra Gotaland, HTA-centrum, Roda Straket 8, Sahlgrenska Universitetssjukhuset, 413 45 GOTHENBORG, Sweden Email: hta-centrum@vgregion.se AccessionNumber 32013000124 Date abstract record published 13/03/2013 |
|
|
|