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Electrocorticography & Functional Mapping Q&A – CLTM Board Prep 2025 – 130+ Expert Verified Questions on ECoG, Cortical Stimulation, Brain Mapping, Epilepsy Surgery, IONM

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This document is a comprehensive CLTM (Certification in Long Term Monitoring) board preparation guide for 2025, featuring 130+ expertly verified questions and answers focused on electrocorticography (ECoG) and functional brain mapping. It is designed for advanced neurodiagnostic students, technologists, and clinical specialists preparing for the ABRET CLTM board examination or involved in neurosurgical planning and intraoperative neurophysiological monitoring (IONM). Covering high-yield concepts and board-tested clinical knowledge, this material includes detailed Q&A on: Direct Cortical Stimulation and mapping of eloquent cortex Neuroplasticity, cortical anatomy, Brodmann’s areas, and functional lateralization Phase reversal SEP, SSEP, BAEP, MEG, and EEG integration Epilepsy Surgery Evaluation, Wada testing, MRI/PET/SPECT imaging ECoG technical parameters, recording standards, safety, artifact detection Mapping for language, memory, sensory, and motor function Aneurysm, stroke, vascular compromise, and brainstem surgical risks Pediatric and refractory epilepsy criteria, postoperative outcomes Advanced clinical applications of MEG, transcranial doppler, depth electrodes, and intraoperative monitoring setups This expert-backed resource reflects the latest practices in functional neurosurgery, neuropsychology, and neurophysiologic monitoring, providing in-depth explanations for learners at Level III and IV Epilepsy Centers, academic hospitals, and neurodiagnostic programs. Recommended for: CLTM candidates preparing for ABRET boards Neurodiagnostic and EEG Technologists Neurosurgery residents and IONM trainees Graduate students in clinical neurophysiology or neuroscience Epilepsy monitoring unit staff and medical educators Keywords: ECoG, cortical mapping, CLTM exam prep, functional mapping, direct cortical stimulation, eloquent cortex, epilepsy surgery, neuroplasticity, phase reversal, Wada test, subdural electrodes, SSEP, BAEP, MEG, brain mapping, neurodiagnostics, long term monitoring, ABRET, neuropsychological evaluation, cortical stimulation parameters

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Electrocorticography and Functional
Mapping for CLTM Board Prep 2025
Expert Verified | Ace the Test



Functional mapping with direct cortical stimulation should always be done

with concurrent electrocorticography:


True or False? - 🧠 ANSWER ✔✔True


Structural functional anatomy may be altered by: (select all that apply)

a. Pressure

b. Plasticity

c. Current


d. Previous lesions - 🧠 ANSWER ✔✔a. Pressure


b. Plasticity

c. Current

,d. Previous lesions

Phase reversal SEP recordings not only identify the central sulcus but also

provide information about the distribution of motor function on the adjacent

exposed cerebral structures.


True or False? - 🧠 ANSWER ✔✔False


Dr Paul Broca, a neurosurgeon in 1861, identified the area of expressive

speech by:

a. Studying laboratory animals

b. Performing the first EP studies in humans

c. Using direct cortical stimulation in surgery

d. Following a patient with expressive aphasia and performing an autopsy

after the patient's death


e. Combining results of CT, MRI, and fMRI - 🧠 ANSWER ✔✔d. Following a

patient with expressive aphasia and performing an autopsy after the

patient's death

The growing of new neuronal connections due to new learning

opportunities or brain abnormalities or when a normal functioning

hemisphere takes over functions of the abnormal side is called:

,a. Cortical dysplasia

b. Mirror focus

c. Secondary bilateral synchrony


d. Neuroplasticity - 🧠 ANSWER ✔✔d. Neuroplasticity


Which occluded vessel is most likely to be associated with a stroke?

a. Right external carotid

b. Right common carotid

c. Right middle cerebral artery


d. Right posterior communicating artery - 🧠 ANSWER ✔✔Right middle

cerebral artery

An assessment of cognitive function, reasoning, problem solving,

expressive language, long and short term memory, attention, processing

speed, visual and spacial organization, and visual motor skills is called:

a. fMRI

b. A neuropsychological evaluation

c. SPECT and PET scans



COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, d. MRI and CT - 🧠 ANSWER ✔✔b. A neuropsychological evaluation


Which of the following are part of an Epilepsy Surgery Evaluation? (select

all that apply)

-Neuropsychology

-MRI and CT

-Wada Test: Sodium Amobarbital

-Video EEG monitoring

-Epilepsy conference

-EMG and Nerve conduction studies

-MEG


-SPECT and PET scans - 🧠 ANSWER ✔✔-Neuropsychology


-MRI and CT

-Wada Test: Sodium Amobarbital

-Video EEG monitoring

-Epilepsy conference

-MEG
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