Cortico-cortical evoked potentials of language tracts in minimally invasive glioma surgery guided by Penfield stimulation

组织病理学 神经生理学 胶质瘤 失语症 医学 诱发电位 刺激 外科 弓状束 放射科 听力学 病理 解剖 磁共振成像 精神科 纤维束成像 内科学 白质 癌症研究
作者
Kathleen Seidel,Jonathan Wermelinger,Pablo Alvarez-Abut,Vedran Deletis,Andreas Raabe,David Zhang,Philippe Schucht
出处
期刊:Clinical Neurophysiology [Elsevier BV]
被引量:1
标识
DOI:10.1016/j.clinph.2023.12.136
摘要

We investigated the feasibility of recording cortico-cortical evoked potentials (CCEPs) in patients with low- and high-grade glioma. We compared CCEPs during awake and asleep surgery, as well as those stimulated from the functional Broca area and recorded from the functional Wernicke area (BtW), and vice versa (WtB). We also analyzed CCEP properties according to tumor location, histopathology, and aphasia. We included 20 patients who underwent minimally invasive surgery in an asleep-awake-asleep setting. Strip electrode placement was guided by classical Penfield stimulation of positive language sites and fiber tracking of the arcuate fascicle. CCEPs were elicited with alternating monophasic single pulses of 1.1 Hz frequency and recorded as averaged signals. Intraoperatively, there was no post-processing of the signal. Ninety-seven CCEPs from 19 patients were analyzed. There was no significant difference in CCEP properties when comparing awake versus asleep, nor BtW versus WtB. CCEP amplitude and latency were affected by tumor location and histopathology. CCEP features after tumor resection correlated with short- and long-term postoperative aphasia. CCEP recordings are feasible during minimally invasive surgery. CCEPs might be surrogate markers for altered connectivity of the language tracts. This study may guide the incorporation of CCEPs into intraoperative neurophysiological monitoring.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
民科王聪发布了新的文献求助10
刚刚
刚刚
YaoZhang完成签到 ,获得积分10
1秒前
潇湘雪月发布了新的文献求助10
2秒前
3秒前
如意枫叶发布了新的文献求助10
3秒前
Rondab应助卡卡罗特采纳,获得10
6秒前
10秒前
14秒前
15秒前
芋孟齐发布了新的文献求助10
15秒前
19秒前
19秒前
一路生花完成签到,获得积分10
19秒前
orixero应助小慧儿采纳,获得10
19秒前
Ava应助科研通管家采纳,获得10
19秒前
19秒前
SYLH应助科研通管家采纳,获得10
19秒前
田様应助科研通管家采纳,获得10
20秒前
丘比特应助科研通管家采纳,获得10
20秒前
潇湘雪月发布了新的文献求助10
20秒前
今后应助科研通管家采纳,获得10
20秒前
科研通AI2S应助科研通管家采纳,获得10
20秒前
情怀应助科研通管家采纳,获得10
20秒前
打打应助科研通管家采纳,获得10
20秒前
20秒前
香蕉觅云应助科研通管家采纳,获得10
20秒前
20秒前
斯文败类应助科研通管家采纳,获得10
20秒前
wanci应助科研通管家采纳,获得10
20秒前
20秒前
爆米花应助科研通管家采纳,获得10
20秒前
SYLH应助科研通管家采纳,获得30
20秒前
星辰大海应助科研通管家采纳,获得10
20秒前
栗惠完成签到 ,获得积分20
20秒前
星辰大海应助科研通管家采纳,获得10
20秒前
李爱国应助科研通管家采纳,获得10
20秒前
猪猪hero发布了新的文献求助10
21秒前
科目三应助科研通管家采纳,获得10
21秒前
21秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989242
求助须知:如何正确求助?哪些是违规求助? 3531393
关于积分的说明 11253753
捐赠科研通 3270010
什么是DOI,文献DOI怎么找? 1804868
邀请新用户注册赠送积分活动 882084
科研通“疑难数据库(出版商)”最低求助积分说明 809136