Intraoperative integration of nTMS, CCEPs and DCS for language. A glance to the next future?
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 41039092.
- Also identified by DOI 10.1007/s00701-025-06691-5 and PMC identifier 12491366.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Direct-Cortical-Stimulation (DCS), Navigated-Transcranial Magnetic-Stimulation (nTMS), Cortico-Cortical-Evoked-Potentials (CCEPs) can be synergically used to monitor Language-network. We illustrate a case of multimodal approach for removal of one left fronto-temporo-insular Low-Grade-Glioma. A 32-years-old female patient was operated in awake surgery (using D080-picture-naming-test). We documented a matching correspondence among frontal nTMS + spots, Penfield DCS, and CCEPs stimulation strip. The same was found in the temporal area among nTMS, DCS, and CCEPs recording strip. [Average distance among nTMS, DCS and CCEPs spots = 5.10 mm, STD = 1.08 mm. Se, PPV and Precision:100%]. We documented the potential utility of matching synergic technologies to preserve language.
Medical subject headings
- Language
- Glioma
- Brain Neoplasms
- Transcranial Magnetic Stimulation
- Neuronavigation
- Evoked Potentials
- Intraoperative Neurophysiological Monitoring