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Assessment of Motor and Language Function during Awake Surgery Yusuke KIMURA 1 , Nobuhiro MIKUNI 1 1Department of Neurosurgery, Sapporo Medical University School of Medicine Keyword: チーム医療 , 運動機能 , 言語機能 , 電気生理学的検査 , team medicine , motor function , language function , electrophysiology pp.533-539
Published Date 2023/5/10
DOI https://doi.org/10.11477/mf.1436204778
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 Awake surgery enables the evaluation of neurological functions that are difficult to assess with a conventional electrophysiological examination and is useful in the evaluation of language function. Awake surgery is a team effort involving anesthesiologists and rehabilitation physicians who evaluate motor and language functions, and information sharing during the perioperative period is important. Some points regarding surgical preparation and anesthesia methods are unique and must be well understood. For example, supraglottic airway devices must be used to secure the airway, and ventilation must be checked for availability when positioning the patient. Preoperative neurological evaluation is important in determining the method of intraoperative neurological evaluation, including choosing the simplest possible method of evaluation and sharing the information with the patient prior to surgery. Motor function assessment evaluates small movements that do not affect the surgery. Visual naming and auditory comprehension are useful in the evaluation of language function.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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