Assessment of intraoperative motor-evoked potentials for predicting postoperative motor function during the surgical clipping of intracranial aneurysms / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
;
(12): 244-249, 2012.
Artigo
em Chinês
| WPRIM
| ID: wpr-814690
ABSTRACT
OBJECTIVE@#To evaluate the usefulness of monitoring transcranial electrically stimulated motor evoked potential (MEP) and its impact on postoperative motor function after surgical clipping of intracranial aneurysms.@*METHODS@#A total of 69 aneurysm patients were monitored for MEP during surgery. The postoperative and preoperative neurological function variation and the correlation between them were compared.@*RESULTS@#MEP deteriorated in 9/68 patients, 6 of the deteriorated MEP returned to normal within 1-40 min, and no new motor deficit emerged. 3 of MEP failed to return to the baseline, which were consistent with postoperative motor function deficit.@*CONCLUSION@#Changes in MEP could serve as early indication of the cerebral ischemia, predicting postoperative motor function and providing a guide to a safe time for temporary clipping. FNMEP monitoring is a safe and reliable tool for the integrity of facial nerve pathway in giant aneurysm surgery.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fisiologia
/
Período Pós-Operatório
/
Cirurgia Geral
/
Instrumentos Cirúrgicos
/
Aneurisma Intracraniano
/
Potencial Evocado Motor
/
Procedimentos Neurocirúrgicos
/
Previsões
/
Métodos
/
Neurônios Motores
Tipo de estudo:
Estudo prognóstico
Limite:
Adolescente
/
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Journal of Central South University(Medical Sciences)
Ano de publicação:
2012
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS