[Application of magnetoencephalography localization in brain tumor surgery].
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.
Zhang
Zhi-qiang
ZQ
Department of Neurosurgery, Xiehe Hospital, Tongji Medical College, Hua Zhong University of Science and Technology, Wuhan 430022, China. doctorchang@163.com
Zhao
Hong-yang
HY
Zhang
Ping
P
Lin
Tao
T
D000293:Adolescent; D000328:Adult; D000368:Aged; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D015225:Magnetoencephalography; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D038361:Neuronavigation; D019635:Neurosurgical Procedures / Q000379:methods*; D016896:Treatment Outcome