Maximizing Tumor Resection and Managing Cognitive Attentional Outcomes: Measures of Impact of Awake Surgery in Glioma Treatment.

ABSTRACT:

Background and objectives

Patients with gliomas often experience neuropsychological deficits affecting their quality of life. Awake surgery (AwS) can reduce permanent cognitive deficits compared with asleep surgery (AsS), but it does not allow intraoperative mapping of all cognitive functions, including attention. Understanding how AwS and AsS affect attention is crucial, given its pivotal role in supporting various cognitive functions.

Methods

We conducted a retrospective analysis on 64 glioma patients treated with AwS or AsS. Attention was assessed with visual search tasks and Trail Making Test Part A before and 1 week and 1 month after surgery. Volumetric T1-weighted and T2/Fluid Attenuated Inversion Recovery MRI sequences before and after surgery were used to delineate t

SUBMITTER: Zigiotto L 

PROVIDER: S-EPMC12777610 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature