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Functional neuroimaging in neurosurgical practice

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Brain Mapping

Abstract

As of today, most clinicians are still being trained in a fairly localizationalist view regarding the functional anatomy of the brain. This view originated in dissection studies of patients with brain lesions at the end of the 19th century by researchers and clinicians like Gall, Lichtheim, Broca, and Wernicke. They in fact launched the era of the “diagram makers” that claimed that brain functions could be mapped out in detail anatomically and that sensorimotor and cognitive functions could be damaged independently of each other. The resulting so-called eloquent areas, which were formulated in these models, are still generally considered no-go areas in neurosurgery because of the presumed high risk of severe and permanent neurological deficits. At that time it had already been noted (initially by Wernicke) that neurological dysfunction could result from both cortical and subcortical damage [12, 29].

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Rutten, GJ.M., Ramsey, N.F. (2011). Functional neuroimaging in neurosurgical practice. In: Duffau, H. (eds) Brain Mapping. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0723-2_16

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