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Background <p>Direct-Cortical-Stimulation (DCS), Navigated-Transcranial Magnetic-Stimulation (nTMS), Cortico-Cortical-Evoked-Potentials (CCEPs) can be synergically used to monitor Language-network.</p> Methods <p>We illustrate a case of multimodal approach for removal of one left fronto-temporo-insular Low-Grade-Glioma.</p> Results <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&#xa0;mm, STD = 1.08&#xa0;mm. Se, PPV and Precision:100%].</p> Conclusions <p>We documented the potential utility of matching synergic technologies to preserve language.</p>

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

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月3日

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

摘要

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.