Intraoperative integration of nTMS, CCEPs and DCS for language. A glance to the next future?

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-10-03 DOI:10.1007/s00701-025-06691-5

Camilla Bonaudo, Riccardo Carrai, Edoardo Pieropan, Francesca Fedi, Eleonora Visocchi, Fabrizio Baldanzi, Francesca Battista, Antonello Grippo, Alessandro Della Puppa

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引用次数: 0

Abstract

Background

Direct-Cortical-Stimulation (DCS), Navigated-Transcranial Magnetic-Stimulation (nTMS), Cortico-Cortical-Evoked-Potentials (CCEPs) can be synergically used to monitor Language-network.

Methods

We illustrate a case of multimodal approach for removal of one left fronto-temporo-insular Low-Grade-Glioma.

Results

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%].

Conclusions

We documented the potential utility of matching synergic technologies to preserve language.

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术中nTMS、CCEPs和DCS的语言整合。展望下一个未来？

背景：直接皮质刺激（DCS）、导航经颅磁刺激（nTMS）、皮质皮质诱发电位（CCEPs）可以协同用于语言网络的监测。方法采用多模式入路切除1例左侧额颞岛低级别胶质瘤。结果32岁女性患者采用清醒手术（d080图片命名测验）。我们记录了额部nTMS +点、Penfield DCS和CCEPs刺激条之间的匹配对应关系。在nTMS、DCS和CCEPs记录条的颞区也发现了相同的结果。[nTMS、DCS和CCEPs斑的平均距离= 5.10 mm, STD = 1.08 mm]。Se， PPV和Precision:100%]。结论：我们记录了匹配协同技术在保护语言方面的潜在效用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.