{"title":"术中nTMS、CCEPs和DCS的语言整合。展望下一个未来？","authors":"Camilla Bonaudo, Riccardo Carrai, Edoardo Pieropan, Francesca Fedi, Eleonora Visocchi, Fabrizio Baldanzi, Francesca Battista, Antonello Grippo, Alessandro Della Puppa","doi":"10.1007/s00701-025-06691-5","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Direct-Cortical-Stimulation (DCS), Navigated-Transcranial Magnetic-Stimulation (nTMS), Cortico-Cortical-Evoked-Potentials (CCEPs) can be synergically used to monitor Language-network.</p><h3>Methods</h3><p>We illustrate a case of multimodal approach for removal of one left fronto-temporo-insular Low-Grade-Glioma.</p><h3>Results</h3><p>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%].</p><h3>Conclusions</h3><p>We documented the potential utility of matching synergic technologies to preserve language.\n</p></div>","PeriodicalId":7370,"journal":{"name":"Acta Neurochirurgica","volume":"167 1","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00701-025-06691-5.pdf","citationCount":"0","resultStr":"{\"title\":\"Intraoperative integration of nTMS, CCEPs and DCS for language. A glance to the next future?\",\"authors\":\"Camilla Bonaudo, Riccardo Carrai, Edoardo Pieropan, Francesca Fedi, Eleonora Visocchi, Fabrizio Baldanzi, Francesca Battista, Antonello Grippo, Alessandro Della Puppa\",\"doi\":\"10.1007/s00701-025-06691-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Direct-Cortical-Stimulation (DCS), Navigated-Transcranial Magnetic-Stimulation (nTMS), Cortico-Cortical-Evoked-Potentials (CCEPs) can be synergically used to monitor Language-network.</p><h3>Methods</h3><p>We illustrate a case of multimodal approach for removal of one left fronto-temporo-insular Low-Grade-Glioma.</p><h3>Results</h3><p>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%].</p><h3>Conclusions</h3><p>We documented the potential utility of matching synergic technologies to preserve language.\\n</p></div>\",\"PeriodicalId\":7370,\"journal\":{\"name\":\"Acta Neurochirurgica\",\"volume\":\"167 1\",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-10-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://link.springer.com/content/pdf/10.1007/s00701-025-06691-5.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Neurochirurgica\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s00701-025-06691-5\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Neurochirurgica","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00701-025-06691-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
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。
Intraoperative integration of nTMS, CCEPs and DCS for language. A glance to the next future?
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.
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.
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