{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T15:51:31Z","timestamp":1783180291104,"version":"3.54.6"},"reference-count":37,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"\n OBJECTIVE<\/jats:title>\n Resective surgery in language-dominant ventral occipitotemporal cortex (vOTC) carries the risk of causing impairment to reading. Because it is not on the lateral surface, it is not easily accessible for intraoperative mapping, and extensive stimulation mapping can be time-consuming. Here the authors assess the feasibility of using task-based electrocorticography (ECoG) recordings intraoperatively to help guide stimulation mapping of reading in vOTC.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n In 11 patients undergoing extraoperative, intracranial seizure mapping, the authors recorded induced broadband gamma activation (70\u2013150 Hz) during a visual category localizer. In 2 additional patients, whose pathologies necessitated resections in language-dominant vOTC, task-based functional mapping was performed intraoperatively using subdural ECoG alongside direct cortical stimulation.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Word-responsive cortex localized using ECoG showed a high sensitivity (72%) to stimulation-induced reading deficits, and the confluence of ECoG and stimulation-positive sites appears to demarcate the visual word form area. Intraoperative task-based ECoG mapping was possible in < 3 minutes, providing a high signal quality, and initial intraoperative data analysis took < 3 minutes, allowing for rapid assessment of broad areas of cortex. Cortical areas critical for reading were mapped and successfully preserved, while also enabling pathological tissue to be completely removed.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Eloquent cortex in ventral visual cortex can be rapidly mapped intraoperatively using ECoG. This method acts to guide high-probability targets for stimulation with limited patient participation and can be used to avoid iatrogenic dyslexia following surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2022.2.jns22170","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T13:56:13Z","timestamp":1650981373000},"page":"1610-1617","source":"Crossref","is-referenced-by-count":10,"title":["Intraoperative localization and preservation of reading in ventral occipitotemporal cortex"],"prefix":"10.3171","volume":"137","author":[{"given":"Oscar","family":"Woolnough","sequence":"first","affiliation":[{"name":"Vivian L. 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Smith Department of Neurosurgery, McGovern Medical School at UT Health Houston;"},{"name":"Texas Institute for Restorative Neurotechnologies, University of Texas Health Science Center at Houston; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith J.","family":"McCarty","sequence":"additional","affiliation":[{"name":"Vivian L. 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