nTMS guidance of awake surgery for highly eloquent gliomas

Sebastian Ille; Jens Gempt; Bernhard Meyer; Sandro M. Krieg

doi:10.3171/2018.10.FOCUSVID.1873

nTMS guidance of awake surgery for highly eloquent gliomas

Sebastian Ille, Jens Gempt, Bernhard Meyer, Sandro M. Krieg

Technical University of Munich

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Navigated transcranial magnetic stimulation (nTMS) allows for preoperative mapping for eloquent gliomas. Besides surgical planning, it also guides intraoperative stimulation mapping. The authors' routine includes preoperative nTMS plus nTMS-based tractography for motor and language to consult patients, plan surgery, craniotomy, and guide cortical and subcortical stimulation. Here, the authors present this routine in a 48-year-old woman with a glioma of the left middle and superior frontal gyrus reaching the precentral gyrus and superior longitudinal fascicle. Gross-total resection via awake surgery was achieved without deficit. The nTMS data and nTMS-based tractography augment eloquent glioma management far beyond its current application.

Original language	English
Article number	1873
Journal	Neurosurgical Focus
Volume	45
DOIs	https://doi.org/10.3171/2018.10.FOCUSVID.1873
State	Published - 1 Oct 2018

Keywords

Awake surgery
DCS
Language mapping
Motor mapping
NTMS
Vid

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title = "nTMS guidance of awake surgery for highly eloquent gliomas",

abstract = "Navigated transcranial magnetic stimulation (nTMS) allows for preoperative mapping for eloquent gliomas. Besides surgical planning, it also guides intraoperative stimulation mapping. The authors' routine includes preoperative nTMS plus nTMS-based tractography for motor and language to consult patients, plan surgery, craniotomy, and guide cortical and subcortical stimulation. Here, the authors present this routine in a 48-year-old woman with a glioma of the left middle and superior frontal gyrus reaching the precentral gyrus and superior longitudinal fascicle. Gross-total resection via awake surgery was achieved without deficit. The nTMS data and nTMS-based tractography augment eloquent glioma management far beyond its current application.",

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AU - Gempt, Jens

AU - Meyer, Bernhard

AU - Krieg, Sandro M.

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nTMS guidance of awake surgery for highly eloquent gliomas

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Keywords

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