Abstract
Direct cortical stimulation has been employed in neurosurgery since 1930, first by Foerster [1], and then later, by Penfield [2–4]. In recent years, the technique of intraoperative cortical stimulation has been adopted for the identification and preservation of language function and motor pathways. Stimulation depolarizes a very focal area of cortex which, in turn, evokes certain responses. Although the mechanism of stimulation effects on language are poorly understood, the principle is based upon the depolarization of local neurons and also of passing pathways, inducing local excitation or inhibition, as well as possible diffusion to more distant areas by way of orthodromic or antidromic propagation [5]. Studies employing optical imaging of bipolar cortical stimulation in monkey and human cortex have shown precise local changes, within 2–3 mm, after the activation of cortical tissue [6, 7]. With the advent of the bipolar probe, avoidance of local diffusion and more precise mapping have been enabled with an accuracy estimated to be approximately 5 mm [6].
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References
Foerster O. The cerebral cortex of man. Lancet. 1931;2:309–12.
Penfield W, Bolchey E. Somatic motor and sensory representation in the cerebral cortex of man as studied by electrical stimulation. Brain. 1937;60:389–443.
Penfield W, Erickson TC. Epilepsy and cerebral localization. A study of the mechanism, treatment, and prevention of epileptic seizures. Springfield: Charles C. Thomas; 1941.
Penfield W, Rasmussen T. Secondary sensory and motor representation. New York: Macmillan; 1950.
Ranck Jr JB. Which elements are excited in electrical stimulation of mammalian central nervous system: a review. Brain Res. 1975;98:417–40.
Haglund MM, Ojemann GA, Blasdel GG. Optical imaging of bipolar cortical stimulation. J Neurosurg. 1993;78:785–93.
Haglund MM, Ojemann GA, Hochman DW. Optical imaging of epileptiform and functional activity in human cerebral cortex. Nature. 1992;358:668–71.
Herholz K, Thiel A, Wienhard K, Pietrzyk U, von Stockhausen HM, Karbe H, et al. Individual functional anatomy of verb generation. Neuroimage. 1996;3:185–94.
Ojemann G, Ojemann J, Lettich E, Berger M. Cortical language localization in left, dominant hemisphere. An electrical stimulation mapping investigation in 117 patients. J Neurosurg. 1989;71:316–26.
Ojemann GA. Individual variability in cortical localization of language. J Neurosurg. 1979;50:164–9.
Ojemann GA, Whitaker HA. Language localization and variability. Brain Lang. 1978;6:239–60.
Ojemann JG, Miller JW, Silbergeld DL. Preserved function in brain invaded by tumor. Neurosurgery. 1996;39:253–8. discussion 258–259.
Seitz RJ, Huang Y, Knorr U, Tellmann L, Herzog H, Freund HJ. Large-scale plasticity of the human motor cortex. Neuroreport. 1995;6:742–4.
Wunderlich G, Knorr U, Herzog H, Kiwit JC, Freund HJ, Seitz RJ. Precentral glioma location determines the displacement of cortical hand representation. Neurosurgery. 1998;42:18–26. discussion 26–17.
Quinones-Hinojosa A, Ojemann SG, Sanai N, Dillon WP, Berger MS. Preoperative correlation of intraoperative cortical mapping with magnetic resonance imaging landmarks to predict localization of the Broca area. J Neurosurg. 2003;99:311–8.
Dehaene S, Dupoux E, Mehler J, Cohen L, Paulesu E, Perani D, et al. Anatomical variability in the cortical representation of first and second language. Neuroreport. 1997;8:3809–15.
Josse G, Herve PY, Crivello F, Mazoyer B, Tzourio-Mazoyer N. Hemispheric specialization for language: brain volume matters. Brain Res. 2006;1068:184–93.
Seghier ML, Lazeyras F, Pegna AJ, Annoni JM, Zimine I, Mayer E, et al. Variability of fMRI activation during a phonological and semantic language task in healthy subjects. Hum Brain Mapp. 2004;23:140–55.
Steinmetz H, Seitz RJ. Functional anatomy of language processing: neuroimaging and the problem of individual variability. Neuropsychologia. 1991;29:1149–61.
Turkeltaub PE, Eden GF, Jones KM, Zeffiro TA. Meta-analysis of the functional neuroanatomy of single-word reading: method and validation. Neuroimage. 2002;16:765–80.
Tzourio-Mazoyer N, Josse G, Crivello F, Mazoyer B. Interindividual variability in the hemispheric organization for speech. Neuroimage. 2004;21:422–35.
Tzourio N, Crivello F, Mellet E, Nkanga-Ngila B, Mazoyer B. Functional anatomy of dominance for speech comprehension in left handers vs right handers. Neuroimage. 1998;8:1–16.
Davies KG, Maxwell RE, Jennum P, Dhuna A, Beniak TE, Destafney E, et al. Language function following subdural grid-directed temporal lobectomy. Acta Neurol Scand. 1994;90:201–6.
FitzGerald DB, Cosgrove GR, Ronner S, Jiang H, Buchbinder BR, Belliveau JW, et al. Location of language in the cortex: a comparison between functional MR imaging and electrocortical stimulation. Am J Neuroradiol. 1997;18:1529–39.
Skirboll SS, Ojemann GA, Berger MS, Lettich E, Winn HR. Functional cortex and subcortical white matter located within gliomas. Neurosurgery. 1996;38:678–84. discussion 684–675.
Lacroix M, Abi-Said D, Fourney DR, Gokaslan ZL, Shi W, DeMonte F, et al. A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival. J Neurosurg. 2001;95:190–8.
Duffau H, Capelle L, Denvil D, Sichez N, Gatignol P, Taillandier L, et al. Usefulness of intraoperative electrical subcortical mapping during surgery for low-grade gliomas located within eloquent brain regions: functional results in a consecutive series of 103 patients. J Neurosurg. 2003;98:764–78.
Duffau H, Capelle L, Sichez N, Denvil D, Lopes M, Sichez JP, et al. Intraoperative mapping of the subcortical language pathways using direct stimulations. An anatomo-functional study. Brain. 2002;125:199–214.
Sanai N, Berger MS. Mapping the horizon: techniques to optimize tumor resection before and during surgery. Clin Neurosurg. 2008;55:14–9.
Sanai N, Mirzadeh Z, Berger MS. Functional outcome after language mapping for glioma resection. N Engl J Med. 2008;358:18–27.
Haglund MM, Berger MS, Shamseldin M, Lettich E, Ojemann GA. Cortical localization of temporal lobe language sites in patients with gliomas. Neurosurgery. 1994;34:567–76. discussion 576.
Carrabba G, Fava E, Giussani C, Acerbi F, Portaluri F, Songa V, et al. Cortical and subcortical motor mapping in rolandic and perirolandic glioma surgery: impact on postoperative morbidity and extent of resection. J Neurosurg Sci. 2007;51:45–51.
Duffau H, Capelle L, Sichez J, Faillot T, Abdennour L, Law Koune JD, et al. Intra-operative direct electrical stimulations of the central nervous system: the Salpetriere experience with 60 patients. Acta Neurochir (Wien). 1999;141:1157–67.
Keles GE, Lundin DA, Lamborn KR, Chang EF, Ojemann G, Berger MS. Intraoperative subcortical stimulation mapping for hemispherical perirolandic gliomas located within or adjacent to the descending motor pathways: evaluation of morbidity and assessment of functional outcome in 294 patients. J Neurosurg. 2004;100:369–75.
Chollet F, DiPiero V, Wise RJ, Brooks DJ, Dolan RJ, Frackowiak RS. The functional anatomy of motor recovery after stroke in humans: a study with positron emission tomography. Ann Neurol. 1991;29:63–71.
Taylor MD, Bernstein M. Awake craniotomy with brain mapping as the routine surgical approach to treating patients with supratentorial intraaxial tumors: a prospective trial of 200 cases. J Neurosurg. 1999;90:35–41.
Berger MS. Lesions in functional (“eloquent”) cortex and sub-cortical white matter. Clin Neurosurg. 1993;41:443–63.
Weder B, Seitz RJ. Deficient cerebral activation pattern in stroke recovery. Neuroreport. 1994;5:457–60.
Lewine JD, Astur RS, Davis LE, Knight JE, Maclin EL, Orrison Jr WW. Cortical organization in adulthood is modified by neonatal infarct: a case study. Radiology. 1994;190:93–6.
Maldjian J, Atlas SW, Howard 2nd RS, Greenstein E, Alsop D, Detre JA, et al. Functional magnetic resonance imaging of regional brain activity in patients with intracerebral arteriovenous malformations before surgical or endovascular therapy. J Neurosurg. 1996;84:477–83.
Grady MS, Jane JA, Steward O. Synaptic reorganization within the human central nervous system following injury. J Neurosurg. 1989;71:534–7.
Fandino J, Kollias SS, Wieser HG, Valavanis A, Yonekawa Y. Intraoperative validation of functional magnetic resonance imaging and cortical reorganization patterns in patients with brain tumors involving the primary motor cortex. J Neurosurg. 1999;91:238–50.
Duffau H, Capelle L, Denvil D, Sichez N, Gatignol P, Lopes M, et al. Functional recovery after surgical resection of low grade gliomas in eloquent brain: hypothesis of brain compensation. J Neurol Neurosurg Psychiatry. 2003;74:901–7.
Thiel A, Herholz K, Koyuncu A, Ghaemi M, Kracht LW, Habedank B, et al. Plasticity of language networks in patients with brain tumors: a positron emission tomography activation study. Ann Neurol. 2001;50:620–9.
Duffau H, Bauchet L, Lehericy S, Capelle L. Functional compensation of the left dominant insula for language. Neuroreport. 2001;12:2159–63.
Gupta DK, Chandra PS, Ojha BK, Sharma BS, Mahapatra AK, Mehta VS. Awake craniotomy versus surgery under general anesthesia for resection of intrinsic lesions of eloquent cortex – a prospective randomised study. Clin Neurol Neurosurg. 2007;109:335–43.
Stummer W, Pichlmeier U, Meinel T, Wiestler OD, Zanella F, Reulen HJ. Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol. 2006;7:392–401.
De Witt Hamer PC, Gil Robles S, Zwinderman AH, Duffau H, Berger MS. Impact of intraoperative stimulation brain mapping on glioma surgery outcome: a meta-analysis. J Clin Oncol. 2012 Jul 10;30(20):2559–65.
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Sanai, N., Berger, M.S. (2016). Intraoperative Cortical Stimulation and the Value of Negative Mapping. In: Byrne, R. (eds) Functional Mapping of the Cerebral Cortex. Springer, Cham. https://doi.org/10.1007/978-3-319-23383-3_13
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DOI: https://doi.org/10.1007/978-3-319-23383-3_13
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