95967 Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, each additional modality (eg, sensory, motor, language, or visual cortex localization) (List separately in addition to code for primary procedure)

Name of the Procedure:

Magnetoencephalography (MEG) Recording and Analysis for Evoked Magnetic Fields - Additional Modalities (e.g., Sensory, Motor, Language, or Visual Cortex Localization)

Summary

Magnetoencephalography (MEG) is a non-invasive procedure that measures the magnetic fields produced by neural activity in the brain. When used for evoked magnetic fields, it helps identify the functional areas of the brain related to specific activities like sensory processing, motor functions, language, or visual tasks.

Purpose

MEG is performed to pinpoint the brain areas responsible for different functions, which is crucial for diagnosing and treating neurological conditions or planning brain surgery. The procedure aims to provide detailed brain mapping to assist in understanding brain activity and functionality.

Indications

• Diagnosing epilepsy and locating seizure foci
• Pre-surgical planning for patients with brain tumors or lesions
• Studying brain activity in various neurological disorders
• Research in cognitive and sensory processing

Preparation

• Patients may need to avoid caffeine and certain medications that could affect brain activity.
• Patients should inform their healthcare provider of any metal implants or electronic devices, as these can interfere with the MEG readings.
• No fasting is typically required, but specific instructions will be provided based on the individual’s health condition.

Procedure Description

1. The patient is seated or lying down in a comfortable position.
2. The MEG machine, which resembles a large helmet, is placed over the patient’s head.
3. Sensors within the machine detect and record the magnetic fields produced by brain activity.
4. During the procedure, the patient may be asked to perform simple tasks or respond to stimuli, such as visual, auditory, or motor tasks, to evoke specific brain activity.
5. The data collected is then analyzed to identify the brain regions involved in the specific tasks.

Duration

The entire procedure typically takes between 1 and 2 hours, depending on the complexity of the tasks and the number of modalities being studied.

Setting

MEG is usually performed in a specialized neuroimaging center within a hospital or an outpatient clinic equipped with the necessary technology.

Personnel

• Neurologist or neurophysiologist
• MEG technician or technologist
• Medical imaging specialists

Risks and Complications

MEG is a safe and non-invasive procedure with minimal risks. Rarely, patients may experience:

• Mild discomfort from sitting still for an extended period.
• Claustrophobia, due to the helmet-like apparatus.

Benefits

• Detailed brain mapping assists in accurate diagnosis and treatment planning.
• Improved surgical outcomes by avoiding critical brain regions.
• Enhanced understanding of neurological conditions and brain function.

Recovery

• No specific recovery time is needed as the procedure is non-invasive.
• Patients can return to their regular activities immediately after the procedure.
• Follow-up appointments may be scheduled to discuss the results and implications.

Alternatives

• Functional MRI (fMRI): Measures brain activity based on blood flow changes but may not be as precise as MEG.
• Electroencephalography (EEG): Records electrical activity of the brain but has lower spatial resolution compared to MEG.
• Each alternative has its own pros and cons, depending on the condition being studied and the specific needs of the patient.

Patient Experience

• The procedure is generally painless, although remaining still for an extended period may be uncomfortable for some.
• Relaxation techniques and periodic breaks may be offered to enhance comfort.
• Patients are encouraged to communicate any discomfort to the attending staff for immediate assistance.