Assessment of intraoperative motor-evoked potentials for predicting postoperative motor function during the surgical clipping of intracranial aneurysms.
10.3969/j.issn.1672-7347.2012.03.006
- Author:
Chengli SHI
1
;
Qian ZHOU
;
Mingming ZHANG
;
Yugang JIANG
Author Information
1. Department of Rehabilitation, Second Xiangya Hospital, Central South University, Changsha 410011, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Evoked Potentials, Motor;
physiology;
Female;
Forecasting;
Humans;
Intracranial Aneurysm;
physiopathology;
surgery;
Male;
Middle Aged;
Motor Neurons;
physiology;
Neurosurgical Procedures;
instrumentation;
methods;
Postoperative Period;
Surgical Instruments;
Young Adult
- From:
Journal of Central South University(Medical Sciences)
2012;37(3):244-249
- CountryChina
- Language:Chinese
-
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.
