Awake Craniotomy for Gliomas in the Non-Dominant Right Hemisphere: A Comprehensive Review
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 hemisph...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-03-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/16/6/1161 |
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| author | Dilshod Muhammadvalievich Mamadaliev Ryuta Saito Kazuya Motomura Fumiharu Ohka Gianluca Scalia Giuseppe Emmanuele Umana Alfredo Conti Bipin Chaurasia |
| author_facet | Dilshod Muhammadvalievich Mamadaliev Ryuta Saito Kazuya Motomura Fumiharu Ohka Gianluca Scalia Giuseppe Emmanuele Umana Alfredo Conti Bipin Chaurasia |
| author_sort | Dilshod Muhammadvalievich Mamadaliev |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T18:28:30Z |
| format | Article |
| id | doaj.art-e79ad2e658ab4931a0ef727d24806927 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-04-24T18:28:30Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-e79ad2e658ab4931a0ef727d248069272024-03-27T13:30:00ZengMDPI AGCancers2072-66942024-03-01166116110.3390/cancers16061161Awake Craniotomy for Gliomas in the Non-Dominant Right Hemisphere: A Comprehensive ReviewDilshod Muhammadvalievich Mamadaliev0Ryuta Saito1Kazuya Motomura2Fumiharu Ohka3Gianluca Scalia4Giuseppe Emmanuele Umana5Alfredo Conti6Bipin Chaurasia7Department of Neurosurgery, Nagoya University Hospital, Nagoya 466-8550, JapanDepartment of Neurosurgery, Nagoya University Hospital, Nagoya 466-8550, JapanDepartment of Neurosurgery, Nagoya University Hospital, Nagoya 466-8550, JapanDepartment of Neurosurgery, Nagoya University Hospital, Nagoya 466-8550, JapanNeurosurgery Unit, Department of Head and Neck Surgery, ARNAS Garibaldi, 95123 Catania, ItalyDepartment of Neurosurgery, Trauma and Gamma Knife Center, Cannizzaro Hospital, 95126 Catania, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, via Altura 3, 40139 Bologna, ItalyDepartment of Neurosurgery, Neurosurgery Clinic, Birgunj 44300, NepalAwake 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.https://www.mdpi.com/2072-6694/16/6/1161awake craniotomyintraoperative monitoringlow-grade gliomatheory of mindmedial ventral premotor cortexprefrontal cortex |
| spellingShingle | Dilshod Muhammadvalievich Mamadaliev Ryuta Saito Kazuya Motomura Fumiharu Ohka Gianluca Scalia Giuseppe Emmanuele Umana Alfredo Conti Bipin Chaurasia Awake Craniotomy for Gliomas in the Non-Dominant Right Hemisphere: A Comprehensive Review Cancers awake craniotomy intraoperative monitoring low-grade glioma theory of mind medial ventral premotor cortex prefrontal cortex |
| title | Awake Craniotomy for Gliomas in the Non-Dominant Right Hemisphere: A Comprehensive Review |
| title_full | Awake Craniotomy for Gliomas in the Non-Dominant Right Hemisphere: A Comprehensive Review |
| title_fullStr | Awake Craniotomy for Gliomas in the Non-Dominant Right Hemisphere: A Comprehensive Review |
| title_full_unstemmed | Awake Craniotomy for Gliomas in the Non-Dominant Right Hemisphere: A Comprehensive Review |
| title_short | Awake Craniotomy for Gliomas in the Non-Dominant Right Hemisphere: A Comprehensive Review |
| title_sort | awake craniotomy for gliomas in the non dominant right hemisphere a comprehensive review |
| topic | awake craniotomy intraoperative monitoring low-grade glioma theory of mind medial ventral premotor cortex prefrontal cortex |
| url | https://www.mdpi.com/2072-6694/16/6/1161 |
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