IDEAL monitoring of musical skills during awake craniotomy: From step 1 to step 2

J Neuropsychol. 2024 Mar:18 Suppl 1:48-60. doi: 10.1111/jnp.12347. Epub 2023 Nov 2.

Abstract

The aim of awake brain surgery is to perform a maximum resection on the one hand, and to preserve cognitive functions, quality of life and personal autonomy on the other hand. Historically, language and sensorimotor functions were most frequently monitored. Over the years other cognitive functions, including music, have entered the operation theatre. Cases about monitoring musical abilities during awake brain surgery are emerging, and a systematic method how to monitor music would be the next step. According to the IDEAL framework for surgical innovations our study aims to present future recommendation based on a systematic literature search (PRISMA) in combination with lessons learned from three case reports from our own clinical practice with professional musicians (n = 3). We plead for structured procedures including individual tailored tasks. By embracing these recommendations, we can both improve clinical care and unravel music functions in the brain.

Keywords: IDEAL framework; awake brain craniotomy; cognitive monitoring; musical monitoring.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Brain Neoplasms / surgery
  • Conscious Sedation*
  • Craniotomy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Music*

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