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MINI REVIEW article

Front. Oncol.

Sec. Neuro-Oncology and Neurosurgical Oncology

This article is part of the Research TopicFrontiers in Cancer Neuroscience: Unraveling the Complex Interplay of Neural Mechanisms in Tumorigenesis and TherapeuticsView all articles

Electrophysiology of gliomas: current science, implications, and opportunities

Provisionally accepted
  • 1Department of Neurological Surgery, Oregon Health and Science University, Portland, OR, United States
  • 2Department of Neurology, Harvard Medical School, Boston, MA, United States
  • 3Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States
  • 4Portland VA Medical Center, Portland, OR, United States

The final, formatted version of the article will be published soon.

Gliomas engage in bidirectional communication with neurons, promoting hyperexcitable conditions that enable neural circuit infiltration and drive tumor growth. These neuron-glioma interactions create patterns of aberrant neural activity that can be detected using intracranial electrodes. While conventional clinical electrodes are limited by low spatiotemporal resolution and lack of single-unit precision, recent advances in neural engineering have introduced multiple types of high-density electrodes that provide orders of magnitude greater spatial resolution. Pairing these tools with emerging characterizations of novel, glioma-associated electrophysiological signatures offers new opportunities to understand disease progression and improve surgical and medical management for gliomas and glioma-related epilepsy. In this review, we begin by outlining foundational research in cancer neuroscience and neuron-glioma interactions through the lens of extracellular dynamics. We then discuss established and emerging methods for intraoperative evaluation of neural activity, what is known about glioma-associated oscillatory and aperiodic trends, and implications for future studies. Finally, we consider the therapeutic potential of neuromodulation for gliomas.

Keywords: Glioma, Glioblastoma, Electrophysiology, Neuron-glioma interactions, Brain Mapping, high density electrodes, Neuromodulation

Received: 14 Apr 2025; Accepted: 25 Nov 2025.

Copyright: © 2025 Minns, BS, Useinovic, MD, Smith, MD, PhD, Puri, Raslan, MD, FAANS, Paulk, PhD and Cleary, MD, PhD. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Hanna E. Minns, BS

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