PRINCIPLES OF SURGICAL TREATMENT USING MAGNETIC RESONANT TRACTOGRAPHY WITH METASTATIC DAMAGE OF THE BRAIN
In the neurosurgical departments of the National Hospital from 2002 to 2016. used in MR (magnetic resonance) tractography 32 patients with metastatic lesions of the brain (MPGM) in the preoperative period. By gender: men accounted for 18 (56.3%), women - 14 (43.7%) patients. Most of the patients (67.3%) had MPGM at the age of 41 to 60 years. With single metastatic nodes in 22 (68.8%) cases. The most frequent localization is marked in the frontal lobe in 9 (40,9%) cases. When using MR tractography with single MPGM, dislocation of the pathways was observed-in 14 (63.6%) cases, without involvement in tumor growth. In 7 (31.8%) cases, there was edema of the conducting pathways and only in 1 case, destruction of the conducting fibers. With multiple (from 2 to 4) nodes, 10 (31.2%) patients underwent surgery. Localization of metastatic nodes, the distribution was as follows: 4 (40,0%) cases, parietal in 2 (20,0%) in the frontal, 2 (20,0%) in temporal lobe, 2 (20.0%) cases - in the occipital lobe. Edema of the conducting pathways in multiple MPGM was observed in 6 (60.0%) cases.