Lefaucheur Jean-Pascal, Picht Thomas
EA 4391, faculté de médecine de Créteil, université Paris Est Créteil, 94000 Créteil, France; Service de physiologie-explorations fonctionnelles, hôpital Henri-Mondor, Assistance publique-Hôpitaux de Paris, 94010 Créteil, France.
Department of Neurosurgery, Charité University Hospital, Berlin, Germany.
Neurophysiol Clin. 2016 Apr;46(2):125-33. doi: 10.1016/j.neucli.2016.05.001. Epub 2016 May 24.
The surgical removal of brain tumours in so-called eloquent regions is frequently associated with a high risk of causing disabling postoperative deficits. Among the preoperative techniques proposed to help neurosurgical planning and procedure, navigated transcranial magnetic stimulation (nTMS) is increasingly performed. A high level of evidence is now available in the literature regarding the anatomical and functional accuracy of this mapping technique. This article presents the principles and facts demonstrating the value of using nTMS in clinical practice to preserve motor or language functions from deleterious lesions secondary to brain tumour resection or epilepsy surgery.
在所谓的脑功能区进行脑肿瘤手术切除，常常伴随着导致术后残疾性神经功能缺损的高风险。在为辅助神经外科手术规划和操作而提出的术前技术中，导航经颅磁刺激（nTMS）的应用越来越广泛。目前，关于这种定位技术的解剖学和功能准确性，文献中已有大量的证据。本文阐述了一些原理和事实，证明了在临床实践中使用nTMS对于保护运动或语言功能免受脑肿瘤切除或癫痫手术继发的有害病变影响的价值。
