Original Articles: PDF OnlySurgery of Metastases in the Sensorimotor Cortex Performance and Clinical ResultsNoell, Susan MD*; Barking, Susanne*; Gerber, Annika MD†; Liebsch, Marina*; Feigl, Günther C. MD‡; Tatagiba, Marcos MD*; Ritz, Rainer MD§ Author Information *Department of Neurosurgery, Eberhard Karls University Tuebingen, Tuebingen †Department of Neurosurgery, Katharinenhospital, Stuttgart ‡Department of Neurosurgery, Bamberg Hospital, Bamberg §Department of Neurosurgery, Philipps University Marburg, Marburg, Germany This study was conducted at the Department of Neurosurgery at Eberhard Karls University Tuebingen. The authors declare no conflict of interest. Reprints: Rainer Ritz, MD, Department of Neurosurgery, University Hospital Giessen and Marburg, Campus Marburg, Baldingerstrasse, Marburg 35043, Germany (e-mail: [email protected]). Neurosurgery Quarterly: June 16, 2015 - Volume - Issue - doi: 10.1097/WNQ.0000000000000188 Buy PAP Metrics Abstract Tumor resection in the rolandic region, also known as sensorimotor cortex, is a challenge. This study aims at reviewing a series of patients undergoing resection of metastases in the sensorimotor cortex using a multimodal concept including neuronavigation, sonography, and intraoperative electrophysiological monitoring. Eleven patients suffering from metastases located in precentral (8) and postcentral gyrus (3) were analyzed concerning their functional motor outcome. Improvement of motor function could be seen in 5 patients 1 week after surgery, 5 patients remained unchanged, and only 1 deteriorated. Median survival time averaged 15 months. A multimodal approach, including preoperative and intraoperative neuronavigation, intraoperative sonography, and intraoperative electrophysiological monitoring can lead on to excellent functional outcome in surgery of metastases in the sensorimotor cortex. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.