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The metaverse has gained tremendous popularity in recent years, allowing the interconnection of users worldwide. However, current systems in metaverse scenarios, such as virtual reality glasses, offer a partial immersive experience. In this context, Brain-Computer Interfaces (BCIs) can introduce a revolution in the metaverse, although a study of the applicability and implications of BCIs in these virtual scenarios is required. Based on the absence of literature, this work reviews, for the first time, the applicability of BCIs in the metaverse, analyzing the current status of this integration based on different categories related to virtual worlds and the evolution of BCIs in these scenarios in the medium and long term. This work also proposes the design and implementation of a general framework that integrates BCIs with different data sources from sensors and actuators (e.g., VR glasses) based on a modular design to be easily extended. This manuscript also validates the framework in a demonstrator consisting of driving a car within a metaverse, using a BCI for neural data acquisition, a VR headset to provide realism, and a steering wheel and pedals. Four use cases (UCs) are selected, focusing on cognitive and emotional assessment of the driver, detection of drowsiness, and driver authentication while using the vehicle. Moreover, this manuscript offers an analysis of BCI trends in the metaverse, also identifying future challenges that the intersection of these technologies will face. Finally, it reviews the concerns that using BCIs in virtual world applications could generate according to different categories: accessibility, user inclusion, privacy, cybersecurity, physical safety, and ethics.