Intraoperative Language Area Mapping: Cortico-Cortical Evoked Potential.

Brain Tumor Res Treat

Department of Neurosurgery, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.

Published: April 2025


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Article Abstract

Since the cortico-cortical evoked potential (CCEP) was first introduced in 2004, CCEP monitoring has been utilized in various types of brain surgery to achieve maximal safe resection (MSR). MSR is the primary goal in improving the prognosis of glioma; however, this is particularly challenging when the tumor is located around eloquent areas. Since the complexity of the language network system makes it more difficult to achieve MSR, language area mapping is essential when tumors are located around these areas. Awake surgery has been the gold standard for intraoperative language area mapping. However, awake craniotomy is not always feasible due to various clinical and patient-related factors. CCEP monitoring has emerged as a promising alternative for intraoperative language function assessment under general anesthesia to overcome the limitations of awake surgery. This review aims to summarize the current evidence on CCEP-guided surgery, focusing on its effectiveness in preserving language function.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070079PMC
http://dx.doi.org/10.14791/btrt.2025.0008DOI Listing

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