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.