Brain Mapping: Indications and Techniques

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.

This book includes complimentary access to a digital copy on https://medone.thieme.com.

Table of Contents

Section I: Preoperative Brain Mapping Features

Part 1: Brain Anatomy and Pathology

1 The Early History of Intraoperative Brain Mapping

2 Anatomy of Eloquent Cortical Brain Regions

3 Anatomy of Eloquent White Matter Tracts

Part 2: Preoperative Mapping Adjuncts

4 Direct Functional Mapping Using Radiographic Methods (fMRI and DTI)

5 Indirect Functional Mapping Using Radiographic Methods

6 Neurophysiology of Identifying Eloquent Regions

7 Extraoperative Mapping for Epilepsy Surgery: Epilepsy Monitoring, Wada, and Electrocorticography

8 Neuropsychologist's Role in the Management of Brain Tumor Patients

Section II: Intraoperative Brain Mapping

Part 1: Awake

9 Awake Craniotomy Operating Room Setup and Surgical Instruments

10 Anesthetic Considerations for Intraoperative Cerebral Brain Mapping

11 Speech Mapping

12 Motor Mapping (Rolandic, Pre-Rolandic, and Insular Cortex)

13 Awake Subcortical Mapping of the Ventral and Dorsal Streams for Language

14 Surgery Around the Command and Control Axis: The Default Mode, Control, and Frontal Aslant Systems

15 Mapping and Surgery of Insular Tumors

16 Mapping of the Visual Pathway

17 Seizure Mapping Surgery

Part 2: Asleep

18 Asleep Motor Mapping

19 Brainstem and Spinal Cord Mapping

Section III: Postoperative Brain Mapping for Recovery of Function

20 Importance of Rehabilitation after Eloquent Brain Surgery

21 Emergence of Deep Learning Methods for Deep Brain Stimulation–Evoked Functional Connectomics

22 Neuroplasticity and Rewiring of the Brain

23 Radiating in Eloquent Regions