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.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Aneurisma Intracraniano
/
Monitorização Neurofisiológica Intraoperatória
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Arq. bras. neurocir
Assunto da revista:
Cirurgia
/
Neurocirurgia
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Department of Neurosurgery, DFV Neuro/BR
/
Hospital Alemão Oswaldo Cruz/BR
Similares
MEDLINE
...
LILACS
LIS