The value of preoperative functional cortical mapping using navigated TMS

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• 作者：Jean-Pascal Lefaucheur^a ; ^b ; ^{jean-pascal.lefaucheur@hmn.aphp.fr" class="auth_mail" title="E-mail the corresponding author} ; Thomas Picht^c
• 关键词：Brain tumour ; Broca's area ; Language ; Motor cortex ; Neuronavigation ; Neurosurgery ; Speech ; Transcranial magnetic stimulation
• 刊名：Neurophysiologie Clinique / Clinical Neurophysiology
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：46
• 期：2
• 页码：125-133
• 全文大小：929 K

文摘

The surgical removal of brain tumours in so-called eloquent regions is frequently associated with a high risk of causing disabling postoperative deficits. Among the preoperative techniques proposed to help neurosurgical planning and procedure, navigated transcranial magnetic stimulation (nTMS) is increasingly performed. A high level of evidence is now available in the literature regarding the anatomical and functional accuracy of this mapping technique. This article presents the principles and facts demonstrating the value of using nTMS in clinical practice to preserve motor or language functions from deleterious lesions secondary to brain tumour resection or epilepsy surgery.