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Functional brain mapping has by now gained a high impact on research and clinical practice: huge funds are unveiled all over the world in order to boost the research and clinical applications of this field of neuroscience. The most successful approach to unlock the mysteries of the brain, to tell it with Jay Ingram, is to bring together an interdisciplinary network of scientists and clinicians and encourage an interchange of ideas. It is this crossfire we try to promote with this book.
This book provides up-to-date, practical information on functional mapping in order to assist neurosurgeons responsible for safely removing lesions in and around eloquent cortex – one of the greatest challenges in neurosurgery. The roles of pre- and intraoperative mapping techniques are clearly explained, highlighting the advantages and limitations of each tool available to the neurosurgeon. The inclusion of treatment algorithms for applications in specific clinical circumstances ensures that the book will serve as a clear guide to this most complex of neurosurgical problems. To further assist the reader, instructive clinical case examples, accompanied by intraoperative photos and other illustrative material, help to explain the applications of functional mapping of eloquent cortex in different pathologies. Practitioners will find the book to be a ready guide to navigation of the practical decisions commonly faced when operating in eloquent cortex.
The goal of this book is to make a link between fundamental research in the field of cognitive neurosciences, which now benefits from a better knowledge of the neural foundations of cerebral processing, and its clinical application, especially in neurosurgery – itself able to provide new insights into brain organization. The anatomical bases are presented, advances and limitations of the different methods of functional cerebral mapping are discussed, updated models of sensorimotor, visuospatial, language, memory, emotional, and executive functions are explained in detail. In the light of these data, new strategies of surgical management of cerebral lesions are proposed, with an optimization of the benefit–risk ratio of surgery. Finally, perspectives about brain connectivity and plasticity are discussed on the basis of translational studies involving serial functional neuroimaging, intraoperative cortico-subcortical electrical mapping, and biomathematical modeling of interactions between parallel distributed neural networks.
Comprehensive resource features state-of-the-art brain mapping techniques and pearls from international recognized neurosurgeons Alfredo Quinones-Hinojosa and Kaisorn Chaichana and coeditor Deependra Mahato Despite advances in imaging techniques to identify eloquent cortical brain regions and subcortical white matter, brain mapping is the only method for obtaining real-time information with high sensitivity and specificity. This groundbreaking technology greatly enhances the neurosurgeon's ability to safely resect challenging lesions located in eloquent areas of the brain. Brain Mapping: Indications and Techniques by esteemed neurosurgeons Alfredo Quinones-Hinojosa, Kaisorn Chaichana, and Deependra Mahato, is a comprehensive overview of the most critical aspects of brain mapping from leaders in the field. The book starts with discussion of preoperative aspects, including the history of brain mapping and anatomy of eloquent cortical and eloquent white matter tracts. Subsequent chapters cover perioperative aspects of brain mapping including indirect and direct functional mapping, the role of neurophysiology, awake craniotomy operating room set-up and surgical instruments, and anesthetic considerations. Diverse awake and asleep brain mapping techniques are described for various intracranial pathologies, as well as advances in postoperative recovery of neurological function including physical and speech therapy. Key Features Dedicated chapters focused on essential sensory functions cover speech mapping, asleep motor mapping, awake subcortical language mapping, and visual cortex and visual tract mapping Disease- and region-specific techniques that encompass extra-operative brain mapping for epilepsy, surgery mapping for insular tumors, seizure mapping, and brainstem and spinal cord mapping Clinical pearls on postoperative issues such as rehabilitation, emergence of DBS-evoked functional connectomics, brain neuroplasticity, and radiating eloquent areas High-quality illustrations and videos enhance understanding of brain regions targeted in different mapping techniques This is the most comprehensive resource available to date on brain mapping and surgery in eloquent regions. As such, it is a must-have for neurosurgical residents, fellows, practicing neurosurgeons, and allied healthcare practitioners who treat patients with brain conditions.
Understanding how the brain works and developing effective therapeutics are important in advancing neuroscience and improving clinical patient care. Neurophotonics and Brain Mapping covers state-of-the-art research and development in optical technologies and applications for brain mapping and therapeutics. It provides a comprehensive overview of various methods developed using light, both microscopic and macroscopic techniques. Recent developments in minimally-invasive endoscopic imaging of deep brain structure and function, as well as light-based therapy are also reviewed.
The most accessible, clinically focused guide to brain mapping techniques and systems This profusely illustrated, concise, yet detailed sourcebook enables both neurosurgeons and neurologists to map functions to specific cognitive and sensory locations in the brain. Clinical Brain Mapping takes you step by step through the methods and functional bases of the techniques, focusing on all clinical situations that require cerebral localization for diagnosis and therapeutic management. Clinical Brain Mapping is cohesively organized into two sections: Techniques and Systems. The first section covers the full scope of methods for determining cerebral location, from the classic Wada test to the newest fMRI and magnetoencephalography procedures. In the Systems section, expert contributors offer key insights into the systems that are mapped with a multi-modality approach, covering somatomotor and somatosensory function, language, vision, hearing, and memory. The book concludes with informative chapters on specific applications of mapping techniques. FEATURES 350 radiologic images and EEG tracings show each brain mapping technique, adding depth and clarity to chapter material Multi-modal approach focuses on a wide array of clinical concerns and corresponding methods, including: Operative anatomy and structural neuroimaging; Functional MRI and magnetoencephalography; Optical imaging; Neuropsychological testing and the Wada test; Extraoperative brain mapping; Electrocorticographic spectral analysis
This book provides an essential overview of the broad range of functional brain imaging techniques, as well as neuroscientific methods suitable for various scientific tasks in fundamental and clinical neuroscience. It also shares information on novel methods in computational neuroscience, mathematical algorithms, image processing, and applications to neuroscience. The mammalian brain is a huge and complex network that consists of billions of neural and glial cells. Decoding how information is represented and processed by this neural network requires the ability to monitor the dynamics of large numbers of neurons at high temporal and spatial resolution over a large part of the brain. Functional brain optical imaging has seen more than thirty years of intensive development. Current light-using methods provide good sensitivity to functional changes through intrinsic contrast and are rapidly exploiting the growing availability of exogenous fluorescence probes. In addition, various types of functional brain optical imaging are now being used to reveal the brain’s microanatomy and physiology.
This book includes research derived from non-invasive brain imaging modalities used to explore the spatial and temporal organisation of the neural systems supporting human behaviour. Imaging modalities of interest include positron emission tomography, event-related potentials, electro-and magnetoencephalography, magnetic resonance imaging, and single-photon emission tomography. Coverage includes novel brain imaging methods, analyses for detecting or localising neural activity, synergistic uses of multiple imaging modalities, and strategies for the design of behavioural paradigms and neural-systems modelling.
This book is the first comprehensive work summarizing the advances that have been made in the neurosurgical use of navigated transcranial magnetic stimulation (nTMS) over the past ten years. Having increasingly gained acceptance as a presurgical mapping modality in neurosurgery, today it is widely used for preoperative mapping of cortical motor and language function, risk stratification and improving the accuracy of subcortical fiber bundle visualization. This unique work will provide neurosurgeons and neuroscientists who are starting their nTMS program essential and detailed information on the technique and protocols, as well as the current clinical evidence on and limitations of the various applications of nTMS. At the same time, more experienced nTMS users looking for deeper insights into nTMS mapping and treatment in neurosurgery will find clearly structured, accessible information. The book was prepared by an international mix of authors, each of which was chosen for their status as a respected expert on the respective subtopic, as evinced by their landmark publications on nTMS.