Krieg, Sandro M. ORCID: 0000-0003-4050-1531, Lioumis, Pantelis ORCID: 0000-0003-2016-9199, Makela, Jyrki P., Wilenius, Juha ORCID: 0000-0001-9712-1594, Karhu, Jari, Hannula, Henri, Savolainen, Petri, Lucas, Carolin Weiss, Seidel, Kathleen, Laakso, Aki ORCID: 0000-0002-5312-4926, Islam, Mominul ORCID: 0000-0002-3714-3975, Vaalto, Selja ORCID: 0000-0002-7326-4766, Lehtinen, Henri, Vitikainen, Anne-Mari, Tarapore, Phiroz E. and Picht, Thomas ORCID: 0000-0002-8630-1466 (2017). Protocol for motor and language mapping by navigated TMS in patients and healthy volunteers; workshop report. Acta Neurochir., 159 (7). S. 1187 - 1196. WIEN: SPRINGER WIEN. ISSN 0942-0940

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Abstract

Navigated transcranial magnetic stimulation (nTMS) is increasingly used for preoperative mapping of motor function, and clinical evidence for its benefit for brain tumor patients is accumulating. In respect to language mapping with repetitive nTMS, literature reports have yielded variable results, and it is currently not routinely performed for presurgical language localization. The aim of this project is to define a common protocol for nTMS motor and language mapping to standardize its neurosurgical application and increase its clinical value. The nTMS workshop group, consisting of highly experienced nTMS users with experience of more than 1500 preoperative nTMS examinations, met in Helsinki in January 2016 for thorough discussions of current evidence and personal experiences with the goal to recommend a standardized protocol for neurosurgical applications. nTMS motor mapping is a reliable and clinically validated tool to identify functional areas belonging to both normal and lesioned primary motor cortex. In contrast, this is less clear for language-eloquent cortical areas identified by nTMS. The user group agreed on a core protocol, which enables comparison of results between centers and has an excellent safety profile. Recommendations for nTMS motor and language mapping protocols and their optimal clinical integration are presented here. At present, the expert panel recommends nTMS motor mapping in routine neurosurgical practice, as it has a sufficient level of evidence supporting its reliability. The panel recommends that nTMS language mapping be used in the framework of clinical studies to continue refinement of its protocol and increase reliability.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Krieg, Sandro M.UNSPECIFIEDorcid.org/0000-0003-4050-1531UNSPECIFIED
Lioumis, PantelisUNSPECIFIEDorcid.org/0000-0003-2016-9199UNSPECIFIED
Makela, Jyrki P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wilenius, JuhaUNSPECIFIEDorcid.org/0000-0001-9712-1594UNSPECIFIED
Karhu, JariUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hannula, HenriUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Savolainen, PetriUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lucas, Carolin WeissUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Seidel, KathleenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Laakso, AkiUNSPECIFIEDorcid.org/0000-0002-5312-4926UNSPECIFIED
Islam, MominulUNSPECIFIEDorcid.org/0000-0002-3714-3975UNSPECIFIED
Vaalto, SeljaUNSPECIFIEDorcid.org/0000-0002-7326-4766UNSPECIFIED
Lehtinen, HenriUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vitikainen, Anne-MariUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tarapore, Phiroz E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Picht, ThomasUNSPECIFIEDorcid.org/0000-0002-8630-1466UNSPECIFIED
URN: urn:nbn:de:hbz:38-226320
DOI: 10.1007/s00701-017-3187-z
Journal or Publication Title: Acta Neurochir.
Volume: 159
Number: 7
Page Range: S. 1187 - 1196
Date: 2017
Publisher: SPRINGER WIEN
Place of Publication: WIEN
ISSN: 0942-0940
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TRANSCRANIAL MAGNETIC STIMULATION; BRAIN-STIMULATION; NEUROSURGICAL PATIENTS; CORTICAL STIMULATION; CORTICOSPINAL TRACT; NAMING ERRORS; HAND AREA; RESECTION; SPEECH; NTMSMultiple languages
Clinical Neurology; SurgeryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/22632

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