지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Objective : The purpose of this study was to assess the feasibility and clinical efficacy of motor evoked potential (MEP) monitoring for supratentorial tumor surgery. Methods : Between 2010 and 2012, to prevent postoperative motor deterioration, MEP recording after transcranial stimulation was performed in 84 patients with supratentorial brain tumors (45 males, 39 females; age range, 24-80 years; median age, 58 years). MEP monitoring results were correlated with postoperative motor outcome compared to preoperative motor status. Results : MEP recordings were stable in amplitude (<50% reduction in amplitude) during surgery in 77 patients (91.7%). No postoperative motor deficit was found in 66 out of 77 patients with stable MEP amplitudes. However, postoperative paresis developed in 11 patients. False negative findings were associated with edema in peri-resectional regions and postoperative bleeding in the tumor bed. MEP decrease in amplitude (>50%) occurred in seven patients (8.3%). However, no deficit occurred postoperatively in four patients following preventive management during the operation. Three patients had permanent paresis, which could have been associated with vascular injury during tumor resection. Conclusions : MEP monitoring during supratentorial tumor surgery is feasible and safe. However, false negative MEP results associated with postoperative events may occur in some patients. To achieve successful monitoring, collaboration between surgeon, anesthesiologist and an experienced technician is mandatory.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Cabraja M / 2009 / Neurophysiological intraoperative monitoring in neurosurgery : aid or handicap? An international survey / Neurosurg Focus 27:E2
Fukuda M / 2013 / Intraoperative monitoring of motor evoked potentials during glioma removal / No Shinkei Geka 41:219~227
Gempt J / 2013 / Postoperative ischemic changes after glioma resection identified by diffusion-weighted magnetic resonance imaging and their association with intraoperative motor evoked potentials / J Neurosurg 119:829~836
Hashiguchi K / 2011 / Feasibility of intraoperative motor-evoked potential monitoring for skull base tumors with a high risk of postoperative motor deterioration / Acta Neurochir (Wien) 153:1191~1200
Horiuchi K / 2005 / Intraoperative monitoring of blood flow insufficiency during surgery of middle cerebral artery aneurysms / J Neurosurg 103:275~283
Fukuda M / 2013 / Intraoperative monitoring of motor evoked potentials during glioma removal / No Shinkei Geka 41:219~227
Gempt J / 2013 / Postoperative ischemic changes after glioma resection identified by diffusion-weighted magnetic resonance imaging and their association with intraoperative motor evoked potentials / J Neurosurg 119:829~836
Hashiguchi K / 2011 / Feasibility of intraoperative motor-evoked potential monitoring for skull base tumors with a high risk of postoperative motor deterioration / Acta Neurochir (Wien) 153:1191~1200
Horiuchi K / 2005 / Intraoperative monitoring of blood flow insufficiency during surgery of middle cerebral artery aneurysms / J Neurosurg 103:275~283
이 논문의 저자 정보
최근 본 자료
댓글(0)
0