| Title |
Brain tumors in eloquent areas: A European multicenter survey of intraoperative mapping techniques, intraoperative seizures occurrence, and antiepileptic drug prophylaxis
|
|---|---|
| Published in |
Neurosurgical Review, August 2016
|
| DOI | 10.1007/s10143-016-0771-2 |
| Pubmed ID | |
| Authors |
Giannantonio Spena, Philippe Schucht, Kathleen Seidel, Geert-Jan Rutten, Christian Franz Freyschlag, Federico D’Agata, Emanule Costi, Francesca Zappa, Marco Fontanella, Denys Fontaine, Fabien Almairac, Michele Cavallo, Pasquale De Bonis, Gerardo Conesa, Nicholas Foroglou, Santiago Gil-Robles, Emanuel Mandonnet, Juan Martino, Thomas Picht, Catarina Viegas, Michel Wager, Johan Pallud |
| Abstract |
Intraoperative mapping and monitoring techniques for eloquent area tumors are routinely used world wide. Very few data are available regarding mapping and monitoring methods and preferences, intraoperative seizures occurrence and perioperative antiepileptic drug management. A questionnaire was sent to 20 European centers with experience in intraoperative mapping or neurophysiological monitoring for the treatment of eloquent area tumors. Fifteen centers returned the completed questionnaires. Data was available on 2098 patients. 863 patients (41.1%) were operated on through awake surgery and intraoperative mapping, while 1235 patients (58.8%) received asleep surgery and intraoperative electrophysiological monitoring or mapping. There was great heterogeneity between centers with some totally AW oriented (up to 100%) and other almost totally ASL oriented (up to 92%) (31% SD). For awake surgery, 79.9% centers preferred an asleep-awake-asleep anesthesia protocol. Only 53.3% of the centers used ECoG or transcutaneous EEG. The incidence of intraoperative seizures varied significantly between centers, ranging from 2.5% to 54% (p < 0.001). It there appears to be a statistically significant link between the mastery of mapping technique and the risk of intraoperative seizures. Moreover, history of preoperative seizures can significantly increase the risk of intraoperative seizures (p < 0.001). Intraoperative seizures occurrence was similar in patients with or without perioperative drugs (12% vs. 12%, p = 0.2). This is the first European survey to assess intraoperative functional mapping and monitoring protocols and the management of peri- and intraoperative seizures. This data can help identify specific aspects that need to be investigated in prospective and controlled studies. |
X Demographics
The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Brazil | 1 | 20% |
| Spain | 1 | 20% |
| Unknown | 3 | 60% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 5 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 109 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Portugal | 2 | 2% |
| Unknown | 107 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 9 | 8% |
| Researcher | 8 | 7% |
| Professor > Associate Professor | 8 | 7% |
| Student > Master | 7 | 6% |
| Student > Doctoral Student | 6 | 6% |
| Other | 25 | 23% |
| Unknown | 46 | 42% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 31 | 28% |
| Neuroscience | 9 | 8% |
| Engineering | 5 | 5% |
| Computer Science | 3 | 3% |
| Nursing and Health Professions | 2 | 2% |
| Other | 4 | 4% |
| Unknown | 55 | 50% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 September 2016.
All research outputs
#15,234,499
of 25,466,764 outputs
Outputs from Neurosurgical Review
#306
of 785 outputs
Outputs of similar age
#215,973
of 381,198 outputs
Outputs of similar age from Neurosurgical Review
#5
of 11 outputs
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We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.