Is it time to replace the Wada test and put awake craniotomy to sleep?

Andrew Papanicolaou, Roozbeh Rezaie, Shalini Narayana, Asim Choudhri, James Wheless, Eduardo M. Castillo, James E. Baumgartner, Frederick Boop

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

The question we address here is whether the invasive presurgical brain mapping approaches of direct cortical stimulation and of the Wada procedure can be replaced by noninvasive functional neuroimaging methods (functional magnetic resonance imaging [fMRI], magnetoencephalography [MEG], transcranial magnetic stimulation and [TMS]). First, we outline the reasons for contemplating such a replacement. Second, we present evidence to the effect that the efficacy of the invasive and noninvasive methods, while suboptimal, is comparable. Third, we discuss additional advantages of noninvasive presurgical brain mapping and conclude that there are no longer compelling reasons for opting for invasive mapping in many if not most cases provided that the non-invasive methods are available.

Original languageEnglish (US)
Pages (from-to)629-632
Number of pages4
JournalEpilepsia
Volume55
Issue number5
DOIs
StatePublished - Jan 1 2014

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Craniotomy
Sleep
Brain Mapping
Magnetoencephalography
Functional Neuroimaging
Transcranial Magnetic Stimulation
Magnetic Resonance Imaging

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Neurology

Cite this

Is it time to replace the Wada test and put awake craniotomy to sleep? / Papanicolaou, Andrew; Rezaie, Roozbeh; Narayana, Shalini; Choudhri, Asim; Wheless, James; Castillo, Eduardo M.; Baumgartner, James E.; Boop, Frederick.

In: Epilepsia, Vol. 55, No. 5, 01.01.2014, p. 629-632.

Research output: Contribution to journalArticle

Papanicolaou, Andrew ; Rezaie, Roozbeh ; Narayana, Shalini ; Choudhri, Asim ; Wheless, James ; Castillo, Eduardo M. ; Baumgartner, James E. ; Boop, Frederick. / Is it time to replace the Wada test and put awake craniotomy to sleep?. In: Epilepsia. 2014 ; Vol. 55, No. 5. pp. 629-632.
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