TY  - JOUR
AU  - Bernard, Florian
AU  - Lemée, Jean-Michel
AU  - Aubin, Ghislaine
AU  - Ter Minassian, Aram
AU  - Menei, Philippe
PY  - 2018
DA  - 2018/06/26
TI  - Using a Virtual Reality Social Network During Awake Craniotomy to Map Social Cognition: Prospective Trial
JO  - J Med Internet Res
SP  - e10332
VL  - 20
IS  - 6
KW  - virtual reality
KW  - neurosurgery
KW  - social cognition
KW  - awake surgery
AB  - Background: In awake craniotomy, it is possible to temporarily inactivate regions of the brain using direct electrical stimulation, while the patient performs neuropsychological tasks. If the patient shows decreased performance in a given task, the neurosurgeon will not remove these regions, so as to maintain all brain functions. Objective: The objective of our study was to describe our experience of using a virtual reality (VR) social network during awake craniotomy and discuss its future applications for perioperative mapping of nonverbal language, empathy, and theory of mind. Methods: This was a single-center, prospective, unblinded trial. During wound closure, different VR experiences with a VR headset were proposed to the patient. This project sought to explore interactions with the neuropsychologist’s avatar in virtual locations using a VR social network as an available experience. Results: Three patients experienced VR. Despite some limitations due to patient positioning during the operation and the limitation of nonverbal cues inherent to the app, the neuropsychologist, as an avatar, could communicate with the patient and explore gesture communication while wearing a VR headset. Conclusions: With some improvements, VR social networks can be used in the near future to map social cognition during awake craniotomy. Trial Registration: ClinicalTrials.gov NCT03010943; https://clinicaltrials.gov/ct2/show/NCT03010943 (Archived at WebCite at http://www.webcitation.org/70CYDil0P) 
SN  - 1438-8871
UR  - http://www.jmir.org/2018/6/e10332/
UR  - https://doi.org/10.2196/10332
UR  - http://www.ncbi.nlm.nih.gov/pubmed/29945859
DO  - 10.2196/10332
ID  - info:doi/10.2196/10332
ER  -