Mexican guideline for multidisciplinary care in awake surgery and electric direct mapping, as treatment for brain lesions in eloquent areas

Abstract

Awake surgery has been considered as the gold standard for treatment of tumor lesions adjacent to eloquent areas; it has to be done through a multidisciplinary approach, involving neurosurgeons, neuroanesthesiologists, neurolinguists and neuropsychologists, allowing a maximal tumoral safe resection, respecting the functional limits of each patient. This guideline was made by experts of the National Institute of Neurology and Neurosurgery and others centers of reference in Mexico. It contains criteria for patient selection, ancillary tests, imaging studies, among other general recommendations for all the involved personal in the process.