Transcranial Magnetic Stimulation–Electroencephalography (TMS-EEG) in Neurosurgery: Unexplored Path Towards Personalized Brain Surgery
2024

TMS-EEG in Neurosurgery: A New Approach to Personalized Brain Surgery

Sample size: 3 publication Evidence: low

Author Information

Author(s): Oliveira Martim, Ribeiro Sofia, Baig Mirza Asfand, Vastani Amisha, Díaz-Baamonde Alba, Tanaka Masumi, Elhag Ali, Marchi Francesco, Ghimire Prajwal, Fayez Feras, Patel Sabina, Gullan Richard, Bhangoo Ranjeev, Ashkan Keyoumars, Vergani Francesco, Mirallave-Pescador Ana, Lavrador José Pedro

Primary Institution: Department of Medical Education, Catolica Medical School, Universidade Católica Portuguesa

Hypothesis

What is the potential impact of combining Transcranial Magnetic Stimulation and Electroencephalography in neurosurgery?

Conclusion

TMS-EEG shows promise in enhancing preoperative speech mapping, seizure focus localization, and understanding tumor-induced changes in cortical excitability.

Supporting Evidence

  • TMS-EEG is a promising tool to evaluate tumor–brain interaction.
  • TMS-EEG can improve preoperative speech mapping.
  • TMS-EEG may help in localizing epileptic foci in patients undergoing epilepsy surgery.

Takeaway

This study looks at how two brain imaging techniques can work together to help doctors plan brain surgery better.

Methodology

This scoping review followed PRISMA guidelines and included a literature search in Embase and Ovid MEDLINE, screening 3596 records based on inclusion and exclusion criteria.

Potential Biases

Potential bias due to the lack of a systematic approach to literature search and no independent review of included studies.

Limitations

The review is limited by the lack of comprehensive literature available in the neurosurgical field and the absence of clear patient data and outcome assessments in the included studies.

Participant Demographics

Adult human subjects were included in the studies reviewed.

Digital Object Identifier (DOI)

10.3390/jpm14121144

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