Neurological Surgery 脳神経外科51巻3号

2023年05月発行

特集 Theモニタリング—基本から応用まで Ⅳ 術式別

覚醒下手術—高次脳機能温存を目指して

著者： 蛭田亮¹ 二村美也子¹² 藤井正純¹

所属機関： ¹福島県立医科大学医学部脳神経外科学講座 ²福島県立医科大学附属病院リハビリテーションセンター

ページ範囲：P.540 - P.550

Point
・高次脳機能の温存は，患者の社会復帰を含めたQOL維持のために重要である．
・空間性注意機能（視空間認知）は，線分二等分課題を中心とした課題を用いて術中評価が可能であり，上縦束をはじめとした神経基盤を理解した上で評価する．
・頭頂葉は高次の運動機能に関わり，PEG＆COIN課題，スポンジコントロール課題を併用することが，行為・動作の第一の系の評価に有用である．
＊本論文中、［Video］マークのある図につきましては、関連する動画を見ることができます（公開期間：2026年6月まで）。

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