Awake Craniotomy for Resection of Diffuse Astrocytoma During Pregnancy: A Case Report

López, S.; Bocanegra-Becerra, Jhon E.; Castillo-Huerta, Nicole M.; Ludeña-Esquivel, Alonso; Zegarra, Alicia Becerra

doi:10.7759/cureus.39016

Cited by 2 publications

(1 citation statement)

References 19 publications

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“… Language + Motor Verbal tasks + Motor movements Motor Opening + closing hand Flexion + tension foot Complex movement such as screwing a nut Visuospatial Line bisection task Object naming in opposite quadrants Social cognition Emotion recognition task Executive function Go/No-go task Working Memory Memorize stimuli, then distraction: is this stimuli the same as previous or not? Calculation Calculation [ 178 ] Language Picture naming Nonverbal semantic association test ( PPTT ) Social cognition Reading the Mind in the Eyes Test [ 179 ] Language Counting Object picture-naming task ( DO80 ) Semantic association task Language + Motor Counting/ DO80 + Contralateral movement [ 180 ] Language Number counting Picture naming task Verbal semantic association task (PPTT) Motor Upper limb movements Visuospatial Line bisection task [ 181 ] Language Counting Picture naming [ 182 ] Language Counting Motor Finger grasping Sticking out tongue Moving the fingers [ 183 ] Language Naming items Motor Finger tapping task [ 184 ] Language Picture naming Word reading Spontaneous speech [ 185 ] Language Free conversation Picture naming Responsive naming [ 186 ] ...…”

Section: Resultsmentioning

confidence: 99%

An update on tests used for intraoperative monitoring of cognition during awake craniotomy

de Zwart,

Ruis

2024

Acta Neurochir

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Purpose Mapping higher-order cognitive functions during awake brain surgery is important for cognitive preservation which is related to postoperative quality of life. A systematic review from 2018 about neuropsychological tests used during awake craniotomy made clear that until 2017 language was most often monitored and that the other cognitive domains were underexposed (Ruis, J Clin Exp Neuropsychol 40(10):1081–1104, 218). The field of awake craniotomy and cognitive monitoring is however developing rapidly. The aim of the current review is therefore, to investigate whether there is a change in the field towards incorporation of new tests and more complete mapping of (higher-order) cognitive functions. Methods We replicated the systematic search of the study from 2018 in PubMed and Embase from February 2017 to November 2023, yielding 5130 potentially relevant articles. We used the artificial machine learning tool ASReview for screening and included 272 papers that gave a detailed description of the neuropsychological tests used during awake craniotomy. Results Comparable to the previous study of 2018, the majority of studies (90.4%) reported tests for assessing language functions (Ruis, J Clin Exp Neuropsychol 40(10):1081–1104, 218). Nevertheless, an increasing number of studies now also describe tests for monitoring visuospatial functions, social cognition, and executive functions. Conclusions Language remains the most extensively tested cognitive domain. However, a broader range of tests are now implemented during awake craniotomy and there are (new developed) tests which received more attention. The rapid development in the field is reflected in the included studies in this review. Nevertheless, for some cognitive domains (e.g., executive functions and memory), there is still a need for developing tests that can be used during awake surgery.

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Section: Resultsmentioning

confidence: 99%

An update on tests used for intraoperative monitoring of cognition during awake craniotomy

de Zwart,

Ruis

2024

Acta Neurochir

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Status Epilepticus and Low-Grade Glioma in the Pregnant State: Case Report and Ethical Considerations

Waack,

Lucarelli,

Marellapudi

et al. 2024

Case Rep Neurol

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Introduction: The pregnant state may cause or exacerbate existing neurological disease. Gliomas appear to be influenced by the physiological changes that occur during pregnancy. The pregnant state may also cause seizures, including status epilepticus. There are currently no defined treatment guidelines to direct clinical decision making, and many of the commonly employed therapies are contraindicated during pregnancy. Case Presentation: The current article describes the case of a 40-year-old G3P1101 female at 10 weeks’ gestation, who sought medical care for recurrent left hemifacial twitching, eventually leading to nonconvulsive status epilepticus. Intubation and sedation were required to achieve seizure cessation. Imaging revealed a lobulated cystic mass in the right parietal lobe, suspicious for low-grade glioma. Despite thorough explanation of the potential risks, the patient adamantly wished to pursue surgical intervention. An uneventful craniotomy was performed for resection of a low-grade glioma. No patient or fetal complications were encountered, and the patient has not had any reported seizures since surgery. Discussion: Managing complex neurosurgical diseases in pregnant patients provides both clinical and ethical quandaries. We describe the successful management of a patient presenting with status epilepticus caused by an underlying glioma during pregnancy. Although challenging, favorable neurosurgical outcomes are possible during pregnancy.

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Awake Craniotomy for Resection of Diffuse Astrocytoma During Pregnancy: A Case Report

Cited by 2 publications

References 19 publications

An update on tests used for intraoperative monitoring of cognition during awake craniotomy

An update on tests used for intraoperative monitoring of cognition during awake craniotomy

Status Epilepticus and Low-Grade Glioma in the Pregnant State: Case Report and Ethical Considerations

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