Logopedia en paciente con mapeo cortical intraoperatorio

The intraoperative cortical mapping is a safe and highly reliable technique for tumor resection in the eloquent sensorimotor cortex. This technique is currently being implemented in hospitals worldwide. For its implementation, a multidisciplinary team of highly qualified professionals is required and the incorporation of a phoniatrician and a speech therapist into this team may be crucial in any of its stages. During the surgical procedure, the patient remains awake and actively collaborates when it comes to language areas resections. While the mapping is applied, the patient performs a language test in order to minimize sequelae. Once the excision is complete, the patient is re-evaluated linguistically before putting to sleep in order to perform the closure of the craniotomy. Postoperative complications are rare and MRI controls can confirm whether the removal was complete or not. Eventually, the patient must be checked for any superimposed neurological deficits during admission or outpatient visits. Early treatment must be applied to identify, recover and/or compensates the possible linguistic deficits previously diagnosed. The speech and language therapy is shorter and with a better prognosis. The role of the phoniatry and speech therapy are significant before, during and after the surgical procedure. It is important to profoundly know this technique in order to treat the patient with better results. This article illustrates the intraoperative brain mapping technique and the subsequent rehabilitation process with phoniatry and speech therapy based on a clinical case.