Because of concern for the nearby motor and speech areas, the patient was prepared for awake craniotomy. The head was positioned in Mayfield fixation with double banana montage scalp leads to monitor EEG for slowing (speech arrest), seizure activity and evoked potentials for signs of ischemia. in addition, fiduciary points (white circles) were placed preoperatively for image-guided localization. Note the C-shaped sensor array above the patient's head.