Neuronavigation and cortical somatosensory evoked potentials in the central area of combination of the application of brain research.docVIP

 PAGE \* MERGEFORMAT 11 Neuronavigation and cortical somatosensory evoked potentials in the central area of combination of the application of brain research Study: forest at the peak beam at the Committee Room New Song Shi Rong Yang Weizhong [Keywords:] Brain somatosensory evoked potential disease Microsurgery As technology advances, the modern era of minimally invasive neurosurgery has entered. The removal of brain lesions in the central area of the surgery, although the navigation can be nerve lesion location and orientation and the central sulcus of the initial position, but to maximize the protection of cortical motor and sensory function is still insufficient. In recent years, intraoperative neurophysiological monitoring technology to bring hope to solve this problem. I Hospital from October 2007 -2008 in December in the central region combined resection of lesions Application of neuronavigation and cortical somatosensory evoked potential technique for functional areas of the anatomy and functions, and achieved satisfactory results, are as follows. 1.1 The objects collected in October 2007 -2008 on December lesions in the brain or near the central area of surgical cases, 20 cases, including 13 males and 7 females; age (35.0 + -8.5) years (17 to 61 years). 9 patients with lesions in the posterior frontal lobe, parietal lobe anterior in 6 cases, 1 object and methods frontal and parietal lobes in 5 cases. pathologic nature: 6 cases of meningioma, astrocytoma in 5 cases, 4 cases of cerebral arteriovenous malformations, cavernous 2 cases of hemangioma, metastatic tumor in 2 cases, 1 case of epidermoid cyst. All patients were cranial MRI and / or CT, DSA confirmed lesion diameter (3.73 + -0.86) cm (2 ~ 5.5cm). 1.2 Methods 1.2.1 line anatomical neuronavigation surgery under general anesthesia. Application Stryker neuronavigation preoperative and intraoperative lesion localization range and location of the central sulcus Mapping the brain, make m