nTMS makes surgery safer, the resection rates are higher and—in the end—the outcomes are better.
Bernhard Meyer, MD, Professor & Chair,
Department of Neurosurgery, Klinikum rechts der Isar, Technical University of Munich, Germany.
What makes this so special is the ability for it to define very small, precise cortical regions on the surface of the brain, and define individual components of function which is something we never could do before.
Navigated Brain Stimulation is a standard of care in our department. Moreover, since we were able to show that the presurgical mappings increase the extent of resection and reduce surgery-related paresis, the NBS data is also used for decision making in our neurosurgical tumor board and for outpatient consultation.
The integration of Navigated Brain Stimulation into the surgical workflow crucially improves preoperative planning, patient counseling, and surgical procedures.
We have had some very excellent results in terms of mapping for the motor and speech areas.
The Nexstim Navigated Brain Stimulation (NBS) System 5 is indicated for non-invasive mapping of the primary motor cortex of the brain to its cortical gyrus. The Nexstim NBS System 5 provides information that may be used in the assessment of the primary motor cortex for pre-procedural planning.
Nexstim NexSpeech®, when used together with the NBS System 5, is indicated for non-invasive localization of cortical areas that do not contain essential speech function. NexSpeech® provides information that may be used in pre-surgical planning in patients undergoing brain surgery. Intra-operatively, the localization information provided by NexSpeech® is intended to be verified by direct cortical stimulation.
The Nexstim NBS System 5 and NBS System 5 with NexSpeech® are not intended to be used during a surgical procedure.
The Nexstim NBS System 5 and NBS System 5 with NexSpeech® are intended to be used by trained clinical professionals.