Heads-Up Micronavigation Reliability of Preoperative Transcranial Magnetic Stimulation Maps for the Motor Function: Comparison With Direct Cortical Stimulation.
Giovanni MuscasTommaso BardazziAgnese PedoneLuca CampagnaroCamilla BonaudoEnrico FainardiFabrizio BaldanziSimone TroianoRiccardo CarraiAntonello GrippoAlessandro Della PuppaPublished in: Operative neurosurgery (Hagerstown, Md.) (2023)
We performed a point-by-point validation of preoperative nTMS maps for motor function using augmented reality visualization. The high negative predictive value and low positive predictive values highlight nTMS reliability to visualize safe cortical zones but not to identify critical functional areas, confirming previous findings of nTMS maps for the language function and suggesting the need for combined use of nTMS maps and DCS for optimal maximal safe resection.