脳外科手術をフェイスブックで生中継、意識保った患者が医師と会話　米病院

【ワシントンＡＦＰ＝時事】若い女性患者が脳外科手術を受けながら、はっきりと意識を保って施術中の医師と会話する様子が29日、フェイスブック上で生中継された。40分間の動画の視聴者数は、30日までに世界で10万人近くに上っている。（写真は脳外科手術を受けるジェナ・シャルトさんを映した動画の一場面。メソジスト・ダラス・メディカルセンター提供）
　手術を受けたのは米イリノイ州在住のジェナ・シャルトさん（２５）。テキサス州にあるメソジスト・ダラス・メディカルセンターのニメシュ・パテル神経外科部長によると、左側頭葉の血管に血栓ができて脳梗塞を患い、言語障害が出ていた。
　病院の公式アカウントで公開された動画には、外科手術用マスクをした医師らが施術する中、シャルトさんが青い手術用カーテンを挟んで医師らと会話する様子が映っている。
　パテル医師によれば、開頭手術中もシャルトさんが意識を保っていたおかげで、医師らは脳の言語をつかさどる部分を傷つけていないことを確かめつつ手術を進められた。医師らはシャルトさんに鳥や犬などの単語や数字を言ってもらい、脳の「地図」を作成したという。
　これについてパテル医師は、「血栓にアプローチし除去する方法を特定するため、（脳内の）安全な部分を見つけ出す必要があった」と説明した。４時間半に及ぶ手術の中では、シャルトさんの愛犬に関する質問を投げ掛け、記憶に障害が出ていないか確認する場面もあったという。
　シャルトさんは作業療法士を目指しており、自身の手術の様子を生中継することで視聴者の理解促進に生かしたいと希望したという。シャルトさんは３１日朝に退院できる見込み。【翻訳編集ＡＦＰＢＢＮｅｗｓ】
〔ＡＦＰ＝時事〕（2019/11/01-09:02）

A young woman in Texas who remained awake for her brain surgery was able to speak to doctors during the procedure -- and viewers form around the world looked on, as part of the operation was livestreamed on Facebook.
By Wednesday, nearly 100,000 people had watched doctors removed a mass from Jenna Schardt's brain during a 40-minute video of the operation that was livestreamed Tuesday morning.
In the video, the 25-year-old patient can be seen speaking with physicians on one side of a blue operating curtain while doctors in surgical masks work on her brain on the other side.
Schardt had a stroke due to a mass of blood vessels in her left temporal lobe that was affecting her ability to talk, Methodist Dallas Medical Center head of neurology Nimesh Patel told AFP.
She remained awake as her skull was opened so that doctors could be sure they weren't damaging the parts of her brain that control speech as they worked -- they asked her to say words such as bird, dog or number in order to make a map of her brain, Patel said.
In order for us to identify how to approach and remove the mass, we must determine areas that are safe, Patel said. They even asked Schardt about her dog to test her memory during the four-and-a-half hour surgery.
Brain surgery performed awake, although it is in our repertoire, is not routine, he said. It all depends on where the lesion is located and if the patient wants to be awake or asleep.
Schardt, from Illinois, is studying occupational therapy.
She wanted to use the experience to educate viewers through the livestream, Patel, said, which was broadcast on the hospital's account.
Schardt is expected to be discharged from the hospital on Thursday morning.
Doctors have performed awake brain surgery throughout the last couple of decades as a way to make sure patients retain essential brain activity -- like in controlling speech or motor functions -- during the operations.
And in 2016 a patient wore 3D virtual reality goggles during a brain surgery for the first time to make sure visual function remained intact while doctors removed a cancerous tumor.