{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T15:23:10Z","timestamp":1794324190698,"version":"4.9.0"},"reference-count":29,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:p>Transcranial magnetic stimulation (TMS) is a noninvasive activation method that is increasingly used for motor mapping. Preoperative functional mapping in vascular surgery is not routinely performed; however, in cases of high-grade arteriovenous malformations (AVMs), it could play a role in preoperative decision making. A 16-year-old male was suffering from a giant, right-sided insular, Spetzler-Martin Grade V AVM. This patient's history included 3 hemorrhagic strokes in the past 3 years, resulting in Medical Research Council Grade 2\u20133 (proximal) and 2\u20134 (distal) paresis of the left side of the body and hydrocephalus requiring a ventriculoperitoneal shunt. Preoperative TMS showed absent contralateral innervation of the remaining left-sided motor functions. Subsequently, the AVM was completely resected without any postoperative increase of the left-sided paresis. This case shows that TMS can support decision making in AVM treatment by mapping motor functions.<\/jats:p>","DOI":"10.3171\/2014.4.peds13592","type":"journal-article","created":{"date-parts":[[2014,5,9]],"date-time":"2014-05-09T09:58:09Z","timestamp":1399629489000},"page":"38-42","source":"Crossref","is-referenced-by-count":8,"title":["Surgery for a giant arteriovenous malformation without motor deterioration: preoperative transcranial magnetic stimulation in a non-cooperative patient"],"prefix":"10.3171","volume":"14","author":[{"given":"Annick","family":"Kronenburg","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tristan","family":"van Doormaal","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter","family":"van Eijsden","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"van der Zwan","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frans","family":"Leijten","sequence":"additional","affiliation":[{"name":"Clinical Neurophysiology, Brain Center Rudolf Magnus, UMC Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuo Sen","family":"Han","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"5","key":"b1-peds13592","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E9","DOI":"10.3171\/2009.2.FOCUS0926","article-title":"Pathogenesis and radiobiology of brain arteriovenous malformations: implications for risk stratification in natural history and posttreatment course","volume":"26","author":"Achrol","year":"2009"},{"key":"b2-peds13592","series-title":"Minim Invasive Neurosurg","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1055\/s-0028-1124104","article-title":"Integrated pre- and intraoperative imaging in a patient with an arteriovenous malformation located in eloquent cortex","volume":"52","author":"Berntsen","year":"2009"},{"key":"b3-peds13592","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"1263","DOI":"10.1007\/s00381-010-1208-9","article-title":"Pediatric stroke: the importance of cerebral arteriopathy and vascular malformations","volume":"26","author":"Beslow","year":"2010"},{"key":"b4-peds13592","series-title":"Am J Phys Med Rehabil","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1097\/00002060-200101000-00004","article-title":"Measuring knee extensor muscle strength","volume":"80","author":"Bohannon","year":"2001"},{"key":"b5-peds13592","series-title":"Magn Reson Imaging","doi-asserted-by":"publisher","first-page":"1360","DOI":"10.1016\/j.mri.2009.05.029","article-title":"Neurophysiological and functional MRI evidence of reorganization of cortical motor areas in cerebral arteriovenous malformation","volume":"27","author":"Caramia","year":"2009"},{"key":"b6-peds13592","series-title":"J Stroke Cerebrovasc Dis","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1016\/S1052-3057(99)80049-4","article-title":"The usefulness of electrophysiological monitoring during resection of central nervous system vascular malformations","volume":"8","author":"Chang","year":"1999"},{"key":"b7-peds13592","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1227\/NEU.0b013e3182181c00","article-title":"Management of pediatric intracranial arteriovenous malformations: experience with multimodality therapy","volume":"69","author":"Darsaut","year":"2011"},{"key":"b8-peds13592","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"505","DOI":"10.3171\/2012.1.PEDS11363","article-title":"Corticospinal tract mapping in children with ruptured arteriovenous malformations using functionally guided diffusion-tensor imaging. 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