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Review
. 2023 Apr;34(2):239-245.
doi: 10.1016/j.nec.2022.11.003. Epub 2023 Jan 31.

Awake Laser Ablation with Continuous Neuropsychological Testing During Treatment of Brain Tumors and Epilepsy

Silas Haahr Nielsen  1 , Jane Skjøth-Rasmussen  1 , Signe Delin Moldrup  1 , Christina Malling Engelmann  2 , Bo Jespersen  1 , Rune Rasmussen  3
Affiliations
Review

Awake Laser Ablation with Continuous Neuropsychological Testing During Treatment of Brain Tumors and Epilepsy

Silas Haahr Nielsen et al. Neurosurg Clin N Am. 2023 Apr.

Abstract

MR-guided laser interstitial thermal therapy (LITT) is feasible and safe in the awake patient. Awake LITT may be performed with analgesics for head fixation in a head-ring, no sedation during laser ablation, and with continuous neurological testing in patients with brain tumors and epilepsy. In the LITT treatment of lesions near eloquent areas and subcortical fiber tracts, neurological function can potentially be preserved by monitoring the patient during laser ablation.

Keywords: Awake surgery; LITT; Mapping; Neuropsychology.

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