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jac241 | 3 years ago

You electrically stimulate around the spot with a probe where you’re planning to resect. If the patient can’t perform whatever task you’re evaluating then you know you can’t resect in that area. Generally looking for a 1cm margin between tissue you’re going to resect and a positive stim site.

Can’t undo brain cuts. CNS neurons don’t repair themselves like peripheral neurons or your skin. Generally not cutting glioma brain tumors out per se more likely to use ultrasonic aspiration to suck the tumor out piecemeal. Depends on the tumor though.

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SeanAnderson|3 years ago

Oh, that makes sense. Cool that we can "dry run" explore with electric pulses! Thanks for explaining :)

infogulch|3 years ago

"dry run" is a great analogy!

amelius|3 years ago

How do you know what task to evaluate?

And what if this was not a saxophone player, but a tennis player? Or both?

Firmwarrior|3 years ago

The worst is when you're performing brain surgery on a brain surgeon. The operating theater can get really crowded.

elteto|3 years ago

Fascinating! What is ultrasonic aspiration and how does it work?