Use of a Novel Intraoperative Neurocognitive Monitoring Task During Awake Craniotomy for Tumor Resection in the Language-Dominant Parietal Lobe

Our findings suggest that real-time iNM can effectively complement traditional stimulation mapping, especially in complex regions such as the parietal lobe where critical functions are mediated by distributed neural networks. A tactile symbol recognition task is feasible and easy to implement as a patient-centered preservation approach in settings that may not have consistent access to other surgical mapping adjuncts and may offer a sensitive means of guiding intraoperative decisions and optimizing outcomes in eloquent cortex resections.

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Publication Details

Journal
Operative Neurosurgery
Published
2026-02-18
DOI
https://doi.org/10.1227/ons.0000000000001933
Primary Topic
Intraoperative Neuromonitoring and Anesthetic Effects
Type
article
Field-Weighted Citation Impact
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article

Use of a Novel Intraoperative Neurocognitive Monitoring Task During Awake Craniotomy for Tumor Resection in the Language-Dominant Parietal Lobe

Mercy H. Mazurek, Otto Rapalino, Timothy R. West, Eva K. Ritzl et al.
Operative Neurosurgery
Intraoperative Neuromonitoring and Anesthetic Effects
article

Use of a Novel Intraoperative Neurocognitive Monitoring Task During Awake Craniotomy for Tumor Resection in the Language-Dominant Parietal Lobe

Mercy H. Mazurek, Otto Rapalino, Timothy R. West, Eva K. Ritzl, Reiner B. See, Zsombor Gal, Brian V. Nahed, Amy Maguire, Nicole A. Perez, Alexander F. Wang, Bryan D. Choi, James D. Sixkiller, Ethan A. Wetzel
article en

Abstract

Our findings suggest that real-time iNM can effectively complement traditional stimulation mapping, especially in complex regions such as the parietal lobe where critical functions are mediated by distributed neural networks. A tactile symbol recognition task is feasible and easy to implement as a patient-centered preservation approach in settings that may not have consistent access to other surgical mapping adjuncts and may offer a sensitive means of guiding intraoperative decisions and optimizing outcomes in eloquent cortex resections.

Operative Neurosurgery
Harvard University (US), Massachusetts General Hospital (US), Swallow Solutions (United States) (US)
Quality Education
Openalex Percentile: Top 51%
Intraoperative Neuromonitoring and Anesthetic Effects
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Use of a Novel Intraoperative Neurocognitive Monitoring Task During Awake Craniotomy for Tumor Resection in the Language-Dominant Parietal Lobe — Mercy H. Mazurek, Otto Rapalino, et al. · Operative Neurosurgery (2026) | TGRS Research Map | TGRS