The Role of Neurophysiological Monitoring during Complex Aneurysm Surgery: Report of Two Cases and Review of the Literature
Arq. bras. neurocir
;
38(4): 348-353, 15/12/2019.
Article
in English
| LILACS
| ID: biblio-1362570
ABSTRACT
The surgical treatment of intracranial aneurysms is a routine operation in the neurosurgeon practice. Complex aneurysms are those with morphological irregularities, usually large or giant; thrombosed, partially thrombosed or calcified; with aberrant fundus/neck ratio and near eloquent neurological structures. These cases demand special skills by the surgical team. The present article is a report of two cases of complex aneurysms successfully treated, with a discussion on the role of neurophysiological monitoring. In these two cases of supra- and infratentorial complex giant aneurysms, intraoperative monitoring was extremely relevant. Thus, we believe that treating complex and giant aneurysms carries several pitfalls, and the use of multimodal intraoperative monitoring is mandatory to mitigate risks and deliver the best result to the patient.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Intracranial Aneurysm
/
Intraoperative Neurophysiological Monitoring
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Arq. bras. neurocir
Journal subject:
Cirurgia
/
Neurosurgery
Year:
2019
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Department of Neurosurgery, DFV Neuro/BR
/
Hospital Alemão Oswaldo Cruz/BR
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