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  The sensory-motor profile awake: A new tool for pre-, intra-, and postoperative assessment of sensory-motor function

Becker, J., Jehna, M., Steinmann, E., Mehdorn, H. M., Synowitz, M., & Hartwigsen, G. (2016). The sensory-motor profile awake: A new tool for pre-, intra-, and postoperative assessment of sensory-motor function. Clinical Neurology and Neurosurgery, 147, 39-45. doi:10.1016/j.clineuro.2016.05.022.

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Item Permalink: http://hdl.handle.net/11858/00-001M-0000-002A-6D08-A Version Permalink: http://hdl.handle.net/21.11116/0000-0003-1A37-3
Genre: Journal Article

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 Creators:
Becker, Juliane1, Author
Jehna, Margit2, Author
Steinmann, Elisabeth1, Author
Mehdorn, Hubertus M.1, Author
Synowitz, Michael1, Author
Hartwigsen, Gesa3, Author              
Affiliations:
1Department of Neurosurgery, University Hospital of Schleswig-Holstein, Kiel, Germany, ou_persistent22              
2Neuroradiology, Vascular and Interventional Radiology, Department of Radiology, Medical University of Graz, Austria, ou_persistent22              
3Department Neuropsychology, MPI for Human Cognitive and Brain Sciences, Max Planck Society, ou_634551              

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Free keywords: Awake craniotomy; Neuropsychological monitoring; Sensory-motor function; Brain tumor; Non-language mapping; Direct cortical stimulation
 Abstract: Objectives Awake craniotomy is a well-established procedure in surgery of intracranial tumors in eloquent areas. However, sufficiently standardized instruments for the assessment of sensory-motor function before, during and after the operation are currently lacking, despite their importance for evaluation of operative outcome. Patients and Methods To address this issue, we designed a standardized assessment tool (the “sensory-motor profile awake scale”; SMP-a). The final scale consists of three motor sections (face, arm and leg) assessing both gross and fine motor skills and one sensory section. It differentiates between six grades of impairment and its tasks are applicable for intraoperative continuous monitoring of sensory-motor functions and supporting processes. We analyzed the data of 17 patients with intracranial tumors eligible for awake craniotomy who were preoperatively assessed with the SMP-a. In addition, we present an exemplary case. Results Our data support the assumption that the SMP-a is feasible in patients eligible for awake craniotomy, even in patients with symptoms of mild aphasia or more severe sensory-motor deficits caused by tumor recurrence. The exemplary case demonstrates the feasibility of repeated measures with the SMP-a in a tumor patient, including the adaption of tasks to the individual requirements of an intraoperative setting. Conclusion This exploratory study suggests that the SMP-a might be a feasible rating scale in patients with intracranial tumors. The flexibility of the scale enables individual adaption, but preserves the standardized scoring system to allow comparison between assessment dates, patients and, hopefully in the future, institutions. However, future studies are mandatory to provide data on the instrument’s diagnostic properties with respect to feasibility, objectivity, validity and reliability.

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Language(s): eng - English
 Dates: 2016-05-172016-01-282016-05-222016-05-242016-08
 Publication Status: Published in print
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Method: Peer
 Identifiers: DOI: 10.1016/j.clineuro.2016.05.022
PMID: 27276340
Other: Epub 2016
 Degree: -

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Title: Clinical Neurology and Neurosurgery
  Other : Clin. Neurol. Neurosurg.
Source Genre: Journal
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Publ. Info: Assen : Elsevier
Pages: - Volume / Issue: 147 Sequence Number: - Start / End Page: 39 - 45 Identifier: ISSN: 0303-8467
CoNE: /journals/resource/954925511433