Abstract

SOLERNOU FERRER, Alejandro José et al. Psychological intervention for awake neurosurgery. Presentation of two cases. Anales de la ACC [online]. 2021, vol.11, n.3  Epub Dec 01, 2021. ISSN 2304-0106.

Neurosurgery with the awake patient is used for the treatment of epilepsies, movement disorders, some vascular surgeries and tumor lesions that are associated with eloquent areas, which allows these areas to be preserved. Objetive: this paper describes the psychological intervention carried out in several sessions with two patients, with a left frontoparietal lesion (Oligodendrioglioma grade II and Meningioma of Convexity, respectively), at the “Hermanos Ameijeiras” Surgical Clinical Hospital. Psychological and neuropsychological evaluation techniques were used, selected according to the characteristics of each case. An evaluation process was carried out to determine that they were psychologically "fit" to face this procedure. In addition, neuropsychological tasks were selected to evaluate the patient during surgery and they were trained for them. Conclusions: this allowed for a successful intraoperative neuropsychological evaluation, helping to preserve the functions linked to the lesion areas, which was corroborated in the postsurgical stage.

Keywords : psychology; neuropsychology; neurosurgery; awake.

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