title: MEG localization of spike sources in human patients with brain tumors.
abstract: The purpose of this study was to use magnetoencephalography (MEG) to identify epileptic zones in patients with brain tumors before undergoing tumor surgery. The MEG data were recorded with a 122-channel biomagnetometer. Equivalent current dipoles (ECD) were calculated for epileptic spikes on MEG recordings according to the single dipole model. Eight patients (five males and three females) within the age range (43-73 years; mean ± SD = 55.12 ± 9.77) were examined by MEG before neurosurgery operation. Four patients had meningioma grade I, three had glioblastoma grade IV and one had astrocytoma grade II. All the patients showed ECD at their MEG's before surgical operation except a female one with meningioma who showed no ECD. Tumors observed in the frontal areas show posteriorly located ECD. We conclude that the MEG is a valuable clinical tool for the localization of epileptic foci in patients with brain tumors before surgical tumor operation.
authors.affiliation: Department of Neurosurgery, Medical School, Democritus University of Thrace, Alexandroupolis 68100, Greece.
authors.forename: T
authors.initials: T
authors.lastname: Birbilis
authors.forename: P
authors.initials: P
authors.lastname: Anninos
authors.forename: I
authors.initials: I
authors.lastname: Seimenis
authors.forename: A
authors.initials: A
authors.lastname: Adamopoulos
authors.forename: A
authors.initials: A
authors.lastname: Kotini
mesh_terms: D000328:Adult; D000368:Aged; D001254:Astrocytoma / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D001921:Brain / Q000503:physiopathology* / Q000601:surgery; D001931:Brain Mapping / Q000379:methods*; D001932:Brain Neoplasms / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D004827:Epilepsy / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D005909:Glioblastoma / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D015225:Magnetoencephalography / Q000379:methods*; D008297:Male; D008579:Meningioma / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D008875:Middle Aged; D060787:Neoplasm Grading; D019635:Neurosurgical Procedures / Q000379:methods; D011300:Preoperative Care / Q000379:methods*
keywords: MEG; brain tumors; epilepsy; equivalent current dipoles; frontal lobes; neurosurgery; presurgical evaluation