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Indirect cognitive mapping in glioma surgery in patients not eligible for awake craniotomy: how I do it
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Neurosurgery.ORCID iD: 0000-0003-0799-2148
Department of Neurophysiology, Region Östergötland, Sweden.
2025 (English)In: Acta Neurochirurgica, ISSN 0001-6268, E-ISSN 0942-0940, Vol. 167, no 1, article id 289Article in journal (Refereed) Published
Abstract [en]

This paper illustrates a method to map cognitive subcortical white matter pathways in brain tumour surgery, in patients not eligible for awake intraoperative mapping. The latter being the gold standard, it is not feasible in all patients. Illustrated by three cases, the presented method includes a preoperative mapping of both motor and subcortical eloquent structures - such as arcuate fasciculus and basal ganglia - subsequentially using subcortical motor mapping as a landmark to indirectly identify the cognitive structures.

Place, publisher, year, edition, pages
Springer, 2025. Vol. 167, no 1, article id 289
Keywords [en]
Cognition, Glioblastoma, Glioma, Intraoperative mapping
National Category
Neurosciences
Identifiers
URN: urn:nbn:se:oru:diva-124868DOI: 10.1007/s00701-025-06706-1ISI: 001609489700001PubMedID: 41201638Scopus ID: 2-s2.0-105021072421OAI: oai:DiVA.org:oru-124868DiVA, id: diva2:2012562
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Örebro UniversityAvailable from: 2025-11-10 Created: 2025-11-10 Last updated: 2026-01-23Bibliographically approved

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Vigren, Patrick

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