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

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...

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Published inNeurosurgery clinics of North America Vol. 34; no. 2; p. 239
Main Authors Nielsen, Silas Haahr, Skjøth-Rasmussen, Jane, Moldrup, Signe Delin, Engelmann, Christina Malling, Jespersen, Bo, Rasmussen, Rune
Format Journal Article
LanguageEnglish
Published United States 01.04.2023
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Summary: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.
ISSN:1558-1349
DOI:10.1016/j.nec.2022.11.003