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Intraoperative stimulation mapping – cinical relevance

Meta-analysis including 8091 patients

De Witt Hamer PC, Gil Robles S, Zwinderman AH, et al.

Impact of & intraoperative stimulation brain mapping on

glioma surgery outcome: a meta-analysis.

J Clin Oncol 2012; 10:2559 – 2565.

Glioma resections using ISM are associated with fewer late severe

neurologic deficits and more extensive resection, and they involve

eloquent locations more frequently. This indicates that ISM should

be universally implemented as standard of care for glioma surgery

.

Late Severe Neurological Deficits observed in 3.4% of ISM vs

8.2%