@article {2197, title = {Passive real-time identification of speech and motor cortex during an awake craniotomy.}, journal = {Epilepsy Behav}, volume = {18}, year = {2010}, month = {05/2010}, pages = {123-8}, abstract = {

Precise localization of eloquent cortex is a clinical necessity prior to surgical resections adjacent to speech or\ motor\ cortex. In the intraoperative setting, this traditionally requires inducing temporary lesions by direct electrocortical stimulation (DECS). In an attempt to increase efficiency and potentially reduce the amount of necessary stimulation, we used a passive mapping procedure in the setting of an awake craniotomy for tumor in two patients resection. We recorded electrocorticographic (ECoG) signals from exposed cortex while patients performed simple cue-directed\ motor\ and speech tasks. SIGFRIED, a procedure for real-time event detection, was used to identify areas of\ cortical\ activation by detecting task-related modulations in the ECoG high gamma band. SIGFRIED{\textquoteright}s real-time output quickly localized\ motor\ and speech areas of cortex similar to those identified by DECS. In conclusion, real-time passive identification of\ cortical\ function using SIGFRIED may serve as a useful adjunct to\ cortical\ stimulation mapping in the intraoperative setting.

}, keywords = {Brain Mapping, Brain Neoplasms, Cerebral Cortex, Craniotomy, Electric Stimulation, Electroencephalography, Humans, Neurologic Examination}, issn = {1525-5069}, doi = {10.1016/j.yebeh.2010.02.017}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20478745}, author = {Roland, Jarod and Peter Brunner and Johnston, James and Gerwin Schalk and Leuthardt, E C} }