USEFULNESS OF EPIDURALLY EVOKED CORTICAL POTENTIAL MONITORING DURING CERVICOMEDULLARY GLIOMA SURGERY

被引：5

作者：

MORIOKA, T

FUJII, K

TOBIMATSU, S

FUKUI, M

SAKAGUCHI, Y

机构：

[1] From the Department Neurosurgery, Neurological Institute, Kyushu University, Fukuoka

[2] From the Department Clinical Neurophysiology, Neurological Institute, Kyushu University, Fukuoka

[3] Department of Anesthesiology, Faculty of Medicine, Kyushu University, Fukuoka

来源：

JOURNAL OF CLINICAL MONITORING | 1991年 / 7卷 / 01期

关键词：

MONITORING; INTRAOPERATIVE; SOMATOSENSORY EVOKED POTENTIALS;

D O I：

10.1007/BF01617895

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

This report describes a patient with an intramedullary ependymoma at the region of the cervicomedullary junction in whom there was an abolition of somatosensory evoked potentials following median nerve stimulation. During intraoperative monitoring of cortical potentials elicited by epidural cervical cord stimulation, the tumor was removed. Posterior epidural stimulation appeared to depolarize more ascending fibers than did stimulation of a single peripheral nerve. We recommend that, in cases of operations in this vital area, epidurally evoked cortical potentials be monitored intraoperatively.

引用

页码：30 / 34

页数：5

共 16 条

[1]

Epstein F., Wisoff J., Intra-axial tumors of the cervicomedullary junction, J Neurosurg, 67, pp. 483-487, (1987)

[2]

Campkin T.V., Turner J.M., Anaesthesia for posterior fossa surgery, Neurosurgical anaesthesia and intensive care, pp. 157-174, (1980)

[3]

Newfield J.E., Turndorf H., Anesthesia and neurosurgery, pp. 168-182, (1980)

[4]

Chatrian G.E., Berger, Wirch A.L., Discrepancy between intraoperative SSEP's and postoperative function. Case report, J Neurosurg, 69, pp. 450-454, (1988)

[5]

Friedman W.A., Richards R., Somatosensory evoked potential monitoring accurately predicts hemi-spinal cord damage. A case report, Neurosurgery, 22, pp. 140-142, (1988)

[6]

Ginsburg H.H., Shetter A.G., Raudzens P.A., Postoperative paraplegia with preserved intraoperative somatosensory evoked potentials. Case report, J Neurosurg, 63, pp. 296-300, (1985)

[7]

McPherson R.W., Szymanski J., Rogers M.C., Somatosensory evoked potential changes in position-related brain stem ischemia, Anesthesiology, 61, pp. 88-90, (1984)

[8]

Nuwer, Dawson E., Intraoperative evoked potential monitoring of the spinal cord: enhanced stability of cortical recordings, Electroencephalogr Clin Neurophysiol, 59, pp. 318-327, (1984)

[9]

Ryan T.P., Britt R.H., Spinal cortical somatosensory evoked potential monitoring during corrective spinal surgery with 108 patients, Spine, 11, pp. 352-361, (1986)

[10]

Shukla R., Docherty T.B., Jackson R.K., Et al., Loss of evoked potentials during spinal surgery due to spinal cord hemorrhage, Ann Neurol, 24, pp. 272-275, (1988)

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