Surveillance in the Cerebral Aneurysm Surgery.
- Author:
Chul Woo LEE
1
;
Bum Tae KIM
;
Sun Chul HWANG
;
Su Bin IM
;
Won Han SHIN
Author Information
1. Department of Neurosurgery, Soonchunhyang University Hospital, Korea. bumtkim@sch.ac.kr
- Publication Type:Original Article
- Keywords:
Cerebral aneurysm surgery;
Surveillance;
Intraoperative monitoring
- MeSH:
Aneurysm;
Angiography;
Brain;
Endoscopes;
Evoked Potentials;
Hemorrhage;
Intracranial Aneurysm*;
Monitoring, Intraoperative;
Nervous System;
Ultrasonography, Doppler
- From:Korean Journal of Cerebrovascular Surgery
2006;8(4):279-282
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intraoperative monitoring has been a valuable part in the cerebral aneurysm surgery. Insight into the nervous system and the relationship of the aneurysm to the adjacent structure during the surgery provide critical information to the surgeon allowing reversal or avoidance of neural insults and the complete clipping of the aneurysm. The goal of cerebral aneurysm surgery is to eliminate the risk of hemorrhage but not disrupt the surrounding vascular and neural structures. Several techniques including microvascular doppler ultrasonography, monitoring cerebral blood flow, evoked potentials, intraoperative angiography, endoscope assisted aneurysm surgery and neuronavigator system are used for the surveillance in the aneurysm surgery. The abnormal findings in these procedures can change surgical management during the surgery such as removal or readjustment of temporary or permanent clips and a decrease in brain retraction or manipulation. The additional feedback provided by intraoperative monitoring promises to improve the safety and efficacy of aneurysm surgery.
