revolutionary Awake Surgery technique in Cesena

Tumors, an incredible intervention in Italy. While playing the plan, the doctors were removing cancer from him brain. It happened at the Bufalini hospital in Cesena, theater in recent days of a sophisticated intervention of 'Awake Surgery' – awake patient surgery – on a teacher of jazz music who performed some piano melodies during the neurosurgery operation, allowing to green coats to identify and preserve the areas associated with musical ability. The AUSL of Romagna reports this today.

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Tumori, brain-operated musician while playing the piano: incredible intervention in Cesena https://t.co/Wk3djTxNuB

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Bufalini's Neurosurgery began practicing Awake Surgery since a few years, they explain from the healthcare company, after a period of specialization by the specialists from Cesena in various centers including the Department of Neuroscience of the University of Montpellier (France) directed by Hughes Duffau, luminary of the sector. During the procedure the patient remains awake, alert and able to respond to a series of pre-established tests proposed by the neuropsychologist, in order to locate and remove the tumor mass as completely and accurately as possible without damaging the cerebral areas that regulate speech, movement and other higher cognitive functions. With the ultimate goal of safeguarding the patient's quality of life.

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The intervention on the musician lasted about 5 hours and "what makes it quite rare and exceptional – explains Luigino Tosatto, director of the Operative Unit of Neurosurgery of the Bufalini hospital, together with Vincenzo Antonelli and Giuseppe Maimone – is that in this patient for the first time we have localized some specific brain areas for music, very complex to detect, to preserve its musical abilities during the removal of the tumor mass. This approach will also allow us to better understand the complexity of the brain processes that underlie some higher cognitive functions of the human mind, including artistic and musical skills ". In particular, during the operation three different musical comprehension skills were mapped and monitored: the recognition of melodic tones, the rhythm and the musical contour.

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In the operating room during the intervention a multidisciplinary team composed of the neurosurgeons Tosatto, Antonelli and Maimone, the neurophysiologist Chiara Minardi, the neuroanesthesiologists Marco Bocchino and Giuseppina Pugliese, the neuropsychologists Caterina Bertini and Davide Braghittoni of the University of Bologna – Department of Psychology of Cesena, and nursing staff coordinated by Milena Maccherozzi. The pre-operative neuroradiological plannig for the Awake Surgery is performed by the Neuroradiology of Cesena directed by Maria Ruggiero and by the Neuroradiology of Ravenna, as in this specific case, where Patrizia Cenni and Chiara Romeo collaborate. That "staged" at Bufalini was "a highly complex operating mode – highlights the Ausl romagnola – which required a close collaboration and a strong multidisciplinary integration between different professionals of high competence, in addition to a long training in the field" .

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"What makes this intervention rather rare and exceptional is that in this patient, teacher and lover of jazz music, for the first time we have localized some specific brain areas for music, very complex to detect, to preserve his musical abilities during the 'removal of the tumor mass'. This was explained by Dr. Luigino Tosatto, director of the Neurosurgery Unit of the Bufalini Hospital in Cesena, together with Dr. Vincenzo Antonelli and Dr. Giuseppe Maimon, referring to the intervention of a musician, operated on the brain while playing the piano. "Moreover – he continued – this approach will allow us to better understand the complexity of the brain processes that underlie some higher cognitive functions of the human mind, including artistic and musical skills".

Last updated: 16:39


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