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Corticocortical Evoked Potentials in Eloquent Brain Tumor Surgery. A Systematic Review.

Authors :
Bonosi, Lapo
Torrente, Angelo
Brighina, Filippo
Tito Petralia, Cateno Concetto
Merlino, Pietro
Avallone, Chiara
Gulino, Vincenzo
Costanzo, Roberta
Brunasso, Lara
Iacopino, Domenico Gerardo
Maugeri, Rosario
Source :
World Neurosurgery. Jan2024, Vol. 181, p38-51. 14p.
Publication Year :
2024

Abstract

Eloquent brain tumor surgery involves the delicate task of resecting tumors located in regions of the brain responsible for critical functions, such as language, motor control, and sensory perception. Preserving these functions is of paramount importance to maintain the patient's quality of life. Corticocortical evoked potentials (CCEPs) have emerged as a valuable intraoperative monitoring technique that aids in identifying and preserving eloquent cortical areas during surgery. This systematic review aimed to assess the utility of CCEPs in eloquent brain tumor surgery and determine their effectiveness in improving patient outcomes. A comprehensive literature search was conducted using electronic databases, including PubMed/Medline and Scopus. The search strategy identified 11 relevant articles for detailed analysis. The findings of the included studies consistently demonstrated the potential of CCEPs in guiding surgical decision making, minimizing the risk of postoperative neurological deficits, and mapping functional connectivity during surgery. However, further research and standardization are needed to fully establish the clinical benefits and refine the implementation of CCEPs in routine neurosurgical practice. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
18788750
Volume :
181
Database :
Academic Search Index
Journal :
World Neurosurgery
Publication Type :
Academic Journal
Accession number :
174708518
Full Text :
https://doi.org/10.1016/j.wneu.2023.10.028