Real-Time Neuropsychological Testing of Sensorimotor Cognition During Awake Surgery in Precentral and Postsomatosensory Areas

Tomasino, Barbara; Guarracino, Ilaria; Ius, Tamara; Budai, Riccardo; Škrap, Miran

doi:10.1016/j.wneu.2022.05.018

Cited by 6 publications

(3 citation statements)

References 56 publications

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“…Patient had to indicate when a red laser was visible, which was consecutively pointed to all parts of the picture. [ 257 ] Language Picture naming task [ 260 ] Language Object naming Sentence reading Speech production Verbal command Sensory Subjective sensory sensations [ 261 ] Language Picture-naming task Alternate reading tasks for kana or kanji [ 262 ] Language Object naming task Visuospatial Line bisection task [ 263 ] Language Word naming tasks (consecutively facial expressions measured during this) [ 264 ] Language Counting Picture naming Verb generation Reading kanji and hiragana Calculation Calculation task [ 266 ] Language Action verb naming Conceptual knowledge of actions: the Kissing and Dancing Test ( KDT ) Sensorimotor Handedness Decision Task ( HDT ) Praxis Florida Praxis Imagery Questionnaire Buccofacial praxis Ideomotor praxis Working memory Digit span [ 267 ] Language Object naming Word reading Word repetition Pseudoword reading Pseudoword repetition Phonological discrimination Verb naming Token test Lexical decision Working memory Short term memory span Working memory [ 268 ] Language Object naming Verbal fluency Action verb naming Metaphor comprehension Executive function Stroop task Working memory Digit span forward Digit span backward Processing speed ...…”

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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“…The real-time neuropsychological testing (RTNT) has been proposed as a complementary tool to DES during surgical resection to continuously monitor the patient’s overall neuropsychological status throughout the resection phase. RTNT consists of sequential runs of awake neuropsychological assessments performed during surgery: Tomasino et al proposed a tailored RTNT protocol for resection in the perirolandic and posterior parietal cortex within the frontoparietal praxis network including the Handedness decision task (HDT), the Florida Praxis Imagery Questionnaire (FPIQ), the Action verb naming (AVN) task, the Kissing and Dancing test (KDT) and the Buccofacial praxis and ideomotor praxis (BP/IMP) tests (additional information is available in Tomasino et al (2022) . This approach’s primary goal is to compensate for the risk of so-called negative mapping during DES (previously discussed); the absence of DES-induced transitory perturbance, in fact, might not accurately predict the “non-functionality” of a specific area.…”

Section: Discussionmentioning

confidence: 99%

Object-oriented hand dexterity and grasping abilities, from the animal quarters to the neurosurgical OR: a systematic review of the underlying neural correlates in non-human, human primate and recent findings in awake brain surgery

Tariciotti,

Mattioli,

Viganò

et al. 2024

Front. Integr. Neurosci.

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IntroductionThe sensorimotor integrations subserving object-oriented manipulative actions have been extensively investigated in non-human primates via direct approaches, as intracortical micro-stimulation (ICMS), cytoarchitectonic analysis and anatomical tracers. However, the understanding of the mechanisms underlying complex motor behaviors is yet to be fully integrated in brain mapping paradigms and the consistency of these findings with intraoperative data obtained during awake neurosurgical procedures for brain tumor removal is still largely unexplored. Accordingly, there is a paucity of systematic studies reviewing the cross-species analogies in neural activities during object-oriented hand motor tasks in primates and investigating the concordance with intraoperative findings during brain mapping. The current systematic review was designed to summarize the cortical and subcortical neural correlates of object-oriented fine hand actions, as revealed by fMRI and PET studies, in non-human and human primates and how those were translated into neurosurgical studies testing dexterous hand-movements during intraoperative brain mapping.MethodsA systematic literature review was conducted following the PRISMA guidelines. PubMed, EMBASE and Web of Science databases were searched. Original articles were included if they: (1) investigated cortical activation sites on fMRI and/or PET during grasping task; (2) included humans or non-human primates. A second query was designed on the databases above to collect studies reporting motor, hand manipulation and dexterity tasks for intraoperative brain mapping in patients undergoing awake brain surgery for any condition. Due to the heterogeneity in neurosurgical applications, a qualitative synthesis was deemed more appropriate.ResultsWe provided an updated overview of the current state of the art in translational neuroscience about the extended frontoparietal grasping-praxis network with a specific focus on the comparative functioning in non-human primates, healthy humans and how the latter knowledge has been implemented in the neurosurgical operating room during brain tumor resection.DiscussionThe anatomical and functional correlates we reviewed confirmed the evolutionary continuum from monkeys to humans, allowing a cautious but practical adoption of such evidence in intraoperative brain mapping protocols. Integrating the previous results in the surgical practice helps preserve complex motor abilities, prevent long-term disability and poor quality of life and allow the maximal safe resection of intrinsic brain tumors.

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“…Furthermore, it could be anticipated that children with DAI could present more difficulties of visual body processing, on the basis of data from previous literature suggesting the central role of white matter integrity for the visual processing of social stimuli in adult populations [ 63 , 64 , 65 ]. Finally, also for the visuospatial imagery task, a worse performance was expected for the DAI than the GMD subgroup due to the higher involvement of cortico-subcortical circuits in this cognitive process [ 66 , 67 , 68 ], which could lead to hypothesize that individuals with significant axonal damage could face difficulties in integrating motor and visual information.…”

Section: Introductionmentioning

confidence: 99%

Body Processing in Children and Adolescents with Traumatic Brain Injury: An Exploratory Study

et al. 2022

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Dysfunctions in body processing have been documented in adults with brain damage, while limited information is available for children. This study aimed to investigate body processing in children and adolescents with traumatic brain injury (TBI) (N = 33), compared to peers with typical development. Two well-known computerized body-representation paradigms, namely Visual Body Recognition and Visuo-spatial Imagery, were administered. Through the first paradigm, the body inversion and composite illusion effects were tested with a matching to sample task as measures of configural and holistic processing of others’ bodies, respectively. The second paradigm investigated with a laterality judgement task the ability to perform first-person and object-based mental spatial transformations of own body and external objects, respectively. Body stimuli did not convey any emotional contents or symbolic meanings. Patients with TBI had difficulties with mental transformations of both body and object stimuli, displaying deficits in motor and visual imagery abilities, not limited to body processing. Therefore, cognitive rehabilitation of body processing in TBI might benefit from the inclusion of both general training on visuo-spatial abilities and specific exercises aimed at boosting visual body perception and motor imagery.

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Real-Time Neuropsychological Testing of Sensorimotor Cognition During Awake Surgery in Precentral and Postsomatosensory Areas

Cited by 6 publications

References 56 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

Object-oriented hand dexterity and grasping abilities, from the animal quarters to the neurosurgical OR: a systematic review of the underlying neural correlates in non-human, human primate and recent findings in awake brain surgery

Body Processing in Children and Adolescents with Traumatic Brain Injury: An Exploratory Study

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