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Study Design for Navigated Repetitive Transcranial Magnetic Stimulation for Speech Cortical Mapping

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Cortical Electrical Stimulation Mapping: Special Considerations in Children.

Prasanna Jayakar¹

¹Brain Institute, Nicklaus Children's Hospital, Miami, Florida, U.S.A.

Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society

|March 3, 2018

Summary

This summary is machine-generated.

Mapping eloquent cortex in children presents unique challenges due to brain plasticity and developmental factors. This article addresses adapting cortical electrical stimulation techniques for pediatric neurosurgery.

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Area of Science:

Neurosurgery
Pediatric Neurology
Neurophysiology

Background:

Cortical electrical stimulation mapping is crucial for resective surgery in adults.
Pediatric mapping faces unique challenges including brain plasticity and developmental factors.
Malformations are common substrates in children, often altering eloquent function representation.

Purpose of the Study:

To outline the specific challenges of cortical electrical stimulation mapping in pediatric patients.
To discuss adaptations needed for accurate functional delineation in children.
To highlight the impact of developmental factors and plasticity on mapping outcomes.

Main Methods:

Review of established cortical electrical stimulation mapping techniques.
Analysis of developmental neurophysiology in pediatric populations.
Consideration of plasticity and malformative substrates in functional assessment.

Main Results:

Eloquent cortex assessment is complex in children due to plasticity and potential impact of deficits.
Neurophysiological responses vary with developmental maturation, requiring methodological adaptation.
Aberrant representations of function are frequent with malformative substrates.

Conclusions:

Pediatric cortical electrical stimulation mapping requires specialized approaches.
Understanding developmental neurophysiology and plasticity is key to successful pediatric mapping.
Adaptations in technique are necessary to accurately delineate eloquent cortex in children.