@article {4448, title = {Passive functional mapping of receptive language cortex during general anesthesia using electrocorticography.}, journal = {Clin Neurophysiol}, volume = {147}, year = {2023}, month = {03/2023}, pages = {31-44}, abstract = {

OBJECTIVE: To investigate the feasibility of passive functional mapping in the receptive language cortex during general anesthesia using electrocorticographic (ECoG) signals.

METHODS: We used subdurally placed ECoG grids to record cortical responses to speech stimuli during awake and anesthesia conditions. We identified the cortical areas with significant responses to the stimuli using the spectro-temporal consistency of the brain signal in the broadband gamma (BBG) frequency band (70-170~Hz).

RESULTS: We found that ECoG BBG responses during general anesthesia effectively identify cortical regions associated with receptive language function. Our analyses demonstrated that the ability to identify receptive language cortex varies across different states and depths of anesthesia. We confirmed these results by comparing them to receptive language areas identified during the awake condition. Quantification of these results demonstrated an average sensitivity and specificity of passive language mapping during general anesthesia to be 49{\textpm}7.7\% and 100\%, respectively.

CONCLUSION: Our results demonstrate that mapping receptive language cortex in patients during general anesthesia is feasible.

SIGNIFICANCE: Our proposed protocol could greatly expand the population of patients that can benefit from passive language mapping techniques, and could eliminate the risks associated with electrocortical stimulation during an awake craniotomy.

}, keywords = {Anesthesia, General, Brain, Brain Mapping, Cerebral Cortex, Electrocorticography, Humans, Language}, issn = {1872-8952}, doi = {10.1016/j.clinph.2022.11.021}, author = {Nourmohammadi, Amin and Swift, James R and de Pesters, Adriana and Guay, Christian S and Adamo, Matthew A and Dalfino, John C and Ritaccio, Anthony L and Schalk, Gerwin and Brunner, Peter} } @article {3557, title = {Electrocorticographic mapping of expressive language function without requiring the patient to speak: A report of three cases.}, journal = {Epilepsy \& behavior case reports}, volume = {6}, year = {2016}, month = {Mar}, pages = {13{\textendash}18}, abstract = {Patients requiring resective brain surgery often undergo functional brain mapping during perioperative planning to localize expressive language areas. Currently, all established protocols to perform such mapping require substantial time and patient participation during verb generation or similar tasks. These issues can make language mapping impractical in certain clinical circumstances (e.g., during awake craniotomies) or with certain populations (e.g., pediatric patients). Thus, it is important to develop new techniques that reduce mapping time and the requirement for active patient participation. Several neuroscientific studies reported that the mere auditory presentation of speech stimuli can engage not only receptive but also expressive language areas. Here, we tested the hypothesis that submission of electrocorticographic (ECoG) recordings during a short speech listening task to an appropriate analysis procedure can identify eloquent expressive language cortex without requiring the patient to speak.}, doi = {10.1016/j.ebcr.2016.02.002}, url = {http://www.ncbi.nlm.nih.gov/pubmed/27408803}, author = {de Pesters, Adriana and Taplin, AmiLyn M. and Adamo, Matthew A. and A L Ritaccio and Gerwin Schalk} } @article {3556, title = {Intraoperative mapping of expressive language cortex using passive real-time electrocorticography.}, journal = {Epilepsy \& behavior case reports}, volume = {5}, year = {2016}, month = {Mar}, pages = {46{\textendash}51}, abstract = {In this case report, we investigated the utility and practicality of passive intraoperative functional mapping of expressive language cortex using high-resolution electrocorticography (ECoG). The patient presented here experienced new-onset seizures caused by a medium-grade tumor in very close proximity to expressive language regions. In preparation of tumor resection, the patient underwent multiple functional language mapping procedures. We examined the relationship of results obtained with intraoperative high-resolution ECoG, extraoperative ECoG utilizing a conventional subdural grid, extraoperative electrical cortical stimulation (ECS) mapping, and functional magnetic resonance imaging (fMRI). Our results demonstrate that intraoperative mapping using high-resolution ECoG is feasible and, within minutes, produces results that are qualitatively concordant to those achieved by extraoperative mapping modalities. They also suggest that functional language mapping of expressive language areas with ECoG may prove useful in many intraoperative conditions given its time efficiency and safety. Finally, they demonstrate that integration of results from multiple functional mapping techniques, both intraoperative and extraoperative, may serve to improve the confidence in or precision of functional localization when pathology encroaches upon eloquent language cortex.}, doi = {10.1016/j.ebcr.2016.03.003}, url = {http://www.ncbi.nlm.nih.gov/pubmed/27408802}, author = {Taplin, AmiLyn M. and de Pesters, Adriana and Peter Brunner and Hermes, Dora and Dalfino, John C. and Adamo, Matthew A. and A L Ritaccio and Gerwin Schalk} }