Comissural inter-M1 cortico-cortical evoked potential: A proof of concept report

Abstract Intraoperative neuromonitoring of motor functions experienced a dramatical revolution in the last years due to significant advances in anaesthesiology procedures and both preoperative and intraoperative mapping techniques. Asleep, awake and combined intraoperative mapping techniques were responsible for an improvement in the functional outcomes in neurosurgery providing reliable and reproducible mapping of both projection and association fibres involved in motor control. Here, we provide evidence of intraoperative mapping of commissural fibres involved in motor control in a patient with asleep technique as well as a review of the potential tracts involved in the connectivity underlying the motor function.