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Published on: August 12, 2019
[Application of magnetoencephalography localization in brain tumor surgery]
Zhi-qiang Zhang1, Hong-yang Zhao, Ping Zhang
1Department of Neurosurgery, Xiehe Hospital, Tongji Medical College, Hua Zhong University of Science and Technology, Wuhan 430022, China. doctorchang@163.com
Objective:
To evaluate the applied value of magnetoencephalography (MEG) localization in microsurgery of brain tumors in the region of motor cortex.
Methods:
From January 2003 to April 2005, 36 patients with 19 meningomas, 14 gliomas, 2 metastases and 1 cavernous angioma underwent MEG and MRI before operation. These individualized functional brain maps were integrated into a neuronavigation system. Preoperative mapping of somatosensory and/or motor cortex was performed, and sites were compared, and all tumors were resected microsurgerically.
Results:
A space-occupying lesion could change the region of motor cortex in all the patients. Thirty-four cases were resected totally. The patient's myodynamia after operation improved in 19 cases, unchanged in 15 cases, descended in 2 cases.
Conclusions:
MEG is an effective localization method of function, providing the relationship between the region of motor cortex and the tumor. And it is valuable for accurate planning in the treatment of brain tumors in the region of motor cortex.
