{"id":3781,"date":"2024-01-28T18:11:18","date_gmt":"2024-01-28T18:11:18","guid":{"rendered":"https:\/\/www.lifescienceart.com\/?p=3781"},"modified":"2024-01-28T18:11:18","modified_gmt":"2024-01-28T18:11:18","slug":"awake-craniotomy-playing-violin-during-brain-surgery","status":"publish","type":"post","link":"https:\/\/www.lifescienceart.com\/cs\/science\/medicine\/awake-craniotomy-playing-violin-during-brain-surgery\/","title":{"rendered":"Probuzen\u00e9 kraniektomie: Pacienti hraj\u00ed na housle b\u011bhem operace mozku"},"content":{"rendered":"<h2 class=\"wp-block-heading\">Probouzen\u00ed kraniektomie: Hran\u00ed na housle b\u011bhem operace mozku<\/h2>\n\n<h2 class=\"wp-block-heading\">Co je to probuzen\u00e1 kraniektomie?<\/h2>\n\n<p>Probuzen\u00e1 kraniektomie je typ operace mozku, p\u0159i kter\u00e9m je pacient b\u011bhem \u010d\u00e1sti z\u00e1kroku vzh\u016fru. To umo\u017e\u0148uje neurochirurg\u016fm zmapovat mozek a vyhnout se po\u0161kozen\u00ed oblast\u00ed, kter\u00e9 \u0159\u00edd\u00ed d\u016fle\u017eit\u00e9 funkce, jako je vid\u011bn\u00ed, pohyb nebo \u0159e\u010d.<\/p>\n\n<h2 class=\"wp-block-heading\">Pro\u010d se prov\u00e1d\u00ed probuzen\u00e1 kraniektomie?<\/h2>\n\n<p>Probuzen\u00e9 kraniektomie se obvykle prov\u00e1d\u011bj\u00ed, kdy\u017e jsou tumory nebo epileptick\u00e9 z\u00e1chvaty vy\u017eaduj\u00edc\u00ed chirurgick\u00fd z\u00e1krok lokalizov\u00e1ny v bl\u00edzkosti \u010d\u00e1st\u00ed mozku, kter\u00e9 \u0159\u00edd\u00ed kritick\u00e9 funkce. T\u00edm, \u017ee je pacient vzh\u016fru a reaguje, mohou neurochirurgov\u00e9 zajistit, aby tyto funkce byly b\u011bhem operace zachov\u00e1ny.<\/p>\n\n<h2 class=\"wp-block-heading\">Jak se prov\u00e1d\u00ed probuzen\u00e1 kraniektomie?<\/h2>\n\n<p>P\u0159ed operac\u00ed pacienti podstoup\u00ed podrobn\u00fd proces mapov\u00e1n\u00ed mozku pomoc\u00ed techniky zvan\u00e9 funk\u010dn\u00ed MRI. To pom\u00e1h\u00e1 neurochirurg\u016fm identifikovat oblasti mozku, kter\u00e9 jsou aktivn\u00ed, kdy\u017e pacient prov\u00e1d\u00ed specifick\u00e9 \u00fakoly, jako je hran\u00ed na housle.<\/p>\n\n<p>B\u011bhem operace je pacient uveden zp\u011bt do v\u011bdom\u00ed, kdy\u017e je n\u00e1dor operov\u00e1n. Pacient je pe\u010dliv\u011b sledov\u00e1n anesteziology a terapeutem, zat\u00edmco hraje na sv\u016fj n\u00e1stroj nebo prov\u00e1d\u00ed jin\u00e9 \u00fakoly. To umo\u017e\u0148uje neurochirurg\u016fm posoudit pacientovu neurologickou funkci a prov\u00e9st nezbytn\u00e9 \u00fapravy chirurgick\u00e9ho pl\u00e1nu.<\/p>\n\n<h2 class=\"wp-block-heading\">V\u00fdhody probuzen\u00e9 kraniektomie<\/h2>\n\n<p>Probuzen\u00e9 kraniektomie nab\u00edzej\u00ed n\u011bkolik v\u00fdhod oproti tradi\u010dn\u00edm operac\u00edm mozku, p\u0159i kter\u00fdch je pacient pln\u011b v anest\u00e9zii. Mezi tyto v\u00fdhody pat\u0159\u00ed:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Zachov\u00e1n\u00ed funkce mozku:<\/strong> Probuzen\u00e9 kraniektomie umo\u017e\u0148uj\u00ed neurochirurg\u016fm zachovat d\u016fle\u017eit\u00e9 funkce mozku, jako je jemn\u00e1 motorika, mapov\u00e1n\u00edm mozku a vyh\u00fdb\u00e1n\u00edm se po\u0161kozen\u00ed kritick\u00fdch oblast\u00ed.<\/li>\n<li><strong>Sn\u00ed\u017een\u00e9 riziko komplikac\u00ed:<\/strong> T\u00edm, \u017ee je pacient vzh\u016fru b\u011bhem operace, mohou neurochirurgov\u00e9 sledovat pacientovu neurologickou funkci a rychle reagovat na jak\u00e9koli potenci\u00e1ln\u00ed komplikace.<\/li>\n<li><strong>Rychlej\u0161\u00ed doba zotaven\u00ed:<\/strong> Pacienti, kte\u0159\u00ed podstoup\u00ed probuzen\u00e9 kraniektomie, maj\u00ed obvykle krat\u0161\u00ed dobu zotaven\u00ed ne\u017e ti, kte\u0159\u00ed podstoup\u00ed tradi\u010dn\u00ed operace mozku.<\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\">P\u0159\u00edpadov\u00e1 studie: Houslistka hraje b\u011bhem operace mozku<\/h2>\n\n<p>Jedn\u00edm z pozoruhodn\u00fdch p\u0159\u00edpad\u016f probuzen\u00e9 kraniektomie byla houslistka jm\u00e9nem Dagmar Turner. Turner m\u011bla v mozku n\u00e1dor, kter\u00fd rostl v bl\u00edzkosti oblasti, kter\u00e1 ovl\u00e1d\u00e1 jemn\u00e9 pohyby jej\u00ed lev\u00e9 ruky. Aby si zachovala schopnost hr\u00e1t na housle, pou\u017eil Turner\u016fv neurochirurgick\u00fd t\u00fdm funk\u010dn\u00ed MRI k zmapov\u00e1n\u00ed oblast\u00ed jej\u00edho mozku, kter\u00e9 byly aktivn\u00ed, kdy\u017e hr\u00e1la.<\/p>\n\n<p>B\u011bhem operace byla Turner uvedena zp\u011bt do v\u011bdom\u00ed a hr\u00e1la na sv\u00e9 housle, zat\u00edmco byl n\u00e1dor odstra\u0148ov\u00e1n. To umo\u017enilo neurochirurg\u016fm vyhnout se po\u0161kozen\u00ed oblast\u00ed jej\u00edho mozku, kter\u00e9 byly zodpov\u011bdn\u00e9 za jej\u00ed jemnou motoriku. V d\u016fsledku toho byla Turner schopna pln\u011b obnovit funkci sv\u00e9 lev\u00e9 ruky a pokra\u010dovat ve h\u0159e na housle.<\/p>\n\n<h2 class=\"wp-block-heading\">Z\u00e1v\u011br<\/h2>\n\n<p>Probuzen\u00e9 kraniektomie jsou cennou chirurgickou technikou, kter\u00e1 umo\u017e\u0148uje neurochirurg\u016fm zachovat d\u016fle\u017eit\u00e9 funkce mozku p\u0159i odstra\u0148ov\u00e1n\u00ed n\u00e1dor\u016f nebo l\u00e9\u010db\u011b jin\u00fdch stav\u016f. T\u00edm, \u017ee je pacient vzh\u016fru a reaguje b\u011bhem operace, mohou neurochirurgov\u00e9 sledovat pacientovu neurologickou funkci a prov\u00e9st nezbytn\u00e9 \u00fapravy chirurgick\u00e9ho pl\u00e1nu. To vede k lep\u0161\u00edm v\u00fdsledk\u016fm pro pacienty a rychlej\u0161\u00ed dob\u011b zotaven\u00ed.<\/p>","protected":false},"excerpt":{"rendered":"<p>Probouzen\u00ed kraniektomie: Hran\u00ed na housle b\u011bhem operace mozku Co je to probuzen\u00e1 kraniektomie? Probuzen\u00e1 kraniektomie je typ operace mozku, p\u0159i kter\u00e9m je pacient b\u011bhem \u010d\u00e1sti z\u00e1kroku vzh\u016fru. To umo\u017e\u0148uje neurochirurg\u016fm&hellip;<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[359],"tags":[22239,2577,16898,7813,22238],"class_list":["post-3781","post","type-post","status-publish","format-standard","hentry","category-medicine","tag-violin","tag-music-therapy","tag-brain-surgery","tag-neurosurgery","tag-awake-craniotomy"],"_links":{"self":[{"href":"https:\/\/www.lifescienceart.com\/cs\/wp-json\/wp\/v2\/posts\/3781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lifescienceart.com\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifescienceart.com\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifescienceart.com\/cs\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifescienceart.com\/cs\/wp-json\/wp\/v2\/comments?post=3781"}],"version-history":[{"count":1,"href":"https:\/\/www.lifescienceart.com\/cs\/wp-json\/wp\/v2\/posts\/3781\/revisions"}],"predecessor-version":[{"id":16813,"href":"https:\/\/www.lifescienceart.com\/cs\/wp-json\/wp\/v2\/posts\/3781\/revisions\/16813"}],"wp:attachment":[{"href":"https:\/\/www.lifescienceart.com\/cs\/wp-json\/wp\/v2\/media?parent=3781"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifescienceart.com\/cs\/wp-json\/wp\/v2\/categories?post=3781"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifescienceart.com\/cs\/wp-json\/wp\/v2\/tags?post=3781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}