Observational analysis shows successful integration of DCS, nTMS, and CCEPs for language preservation in a patient, suggesting innovative surgical approaches.
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.
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Bonaudo et al. (2025) studied this question.
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