Monitoring of muscle motor evoked potentials during cerebral aneurysm surgery: Intraoperative changes and postoperative outcome

Journal of Neurosurgery

Volumn 105, Issue 5, 2006, Pages 675-681

  Szelényi, Andrea ^a   Langer, David ^b   Kothbauer, Karl ^b   De Camargo, Adauri Bueno ^b   Flamm, Eugene S ^b   Deletis, Vedran ^b  

^a Department of Neurosurgery   (Germany)

^b NONE

Author keywords

Cerebral aneurysm; Direct cortical stimulation; Intraoperative monitoring; Motor evoked potential; Motor outcome; Transcranial electrical stimulation

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; BICEPS BRACHII MUSCLE; BRAIN ARTERY ANEURYSM; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DETERIORATION; DISEASE SEVERITY; ELECTROSTIMULATION; EVOKED MUSCLE RESPONSE; EXTENSOR MUSCLE; FEMALE; HUMAN; INTRAOPERATIVE PERIOD; LEG MUSCLE; MAJOR CLINICAL STUDY; MALE; MOTOR DYSFUNCTION; MOTOR PERFORMANCE; MUSCLE POTENTIAL; NEUROPHYSIOLOGY; NEURORADIOLOGY; PATIENT MONITORING; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; SCHOOL CHILD; STIMULUS RESPONSE; SURGICAL TECHNIQUE; TIBIALIS ANTERIOR MUSCLE; TRANSCRANIAL MAGNETIC STIMULATION; TREATMENT OUTCOME;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CEREBRAL CORTEX; CHILD; ELECTRIC STIMULATION; EVOKED POTENTIALS, MOTOR; FEMALE; HUMANS; INTRACRANIAL ANEURYSM; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; MUSCLE, SKELETAL; PREDICTIVE VALUE OF TESTS; TREATMENT OUTCOME;

EID: 33750701791     PISSN: 00223085     EISSN: 00223085     Source Type: Journal    
DOI: 10.3171/jns.2006.105.5.675     Document Type: Article

References (23)

1. Deletis V, Kothbauer K: Intraoperative neurophysiology of the corticospinal tract, in Stålberg E, Sharma HS, Olsson Y (eds): Spinal Cord Monitoring. New York: Springer Verlag, 1998, pp 421-444
2. Friedman WA, Chadwick GM, Verhoeven FJS, Mahla M, Day AL: Monitoring of somatosensory evoked potentials during surgery for middle cerebral artery aneurysms. Neurosurgery 29:83-88, 1991
3. Grigorian AA, Marcovici A, Flamm ES: Intraoperative factors associated with surgical outcome in patients with unruptured cerebral aneurysms: the experience of a single surgeon. J Neurosurg 99:452-457, 2003
4. Holland NR: Subcortical strokes from intracranial aneurysm surgery: implications for intraoperative neuromonitoring. J Clin Neurophysiol 15:439-446, 1998
5. Kalkman CJ, Drummond JC, Ribberink AA, Patel PM, Sano T, Bickford RG: Effects of propofol, etomidate, midazolam, and fentanyl on motor evoked responses to transcranial electrical or magnetic stimulation in humans. Anesthesiology 76:502-509, 1992
6. Kothbauer K, Deletis V, Epstein F: Motor-evoked potential monitoring for intramedullary spinal cord tumor surgery: correlation of clinical and neurophysiological data in a series of 100 consecutive procedures. Neurosurg Focus 4(5):E1, 1998
7. Kothbauer K, Krzan M, Deletis V: Motor evoked potential monitoring in supratentorial surgery. Zentralbl Neurochir 59 (Suppl 1):O231, 1998 (Abstract)
8. Krieger D, Adams HP, Albert F, von Haken M, Hacke W: Pure motor hemiparesis with stable somatosensory evoked potential monitoring during aneurysm surgery: case report. Neurosurgery 31:145-150, 1992
9. Lavine SD, Masri LS, Levy ML, Giannotta SL: Temporary occlusion of the middle cerebral artery in intracranial aneurysm surgery: time limitation and advantage of brain protection. J Neurosurg 87:817-824, 1997
10. MacDonald DB: Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring. J Clin Neurophysiol 19:416-429, 2002
11. Morota N, Deletis V, Constantini S, Kofler M, Cohen H, Epstein FJ: The role of motor evoked potentials during surgery for intramedullary spinal cord tumors. Neurosurgery 41:1327-1336, 1997
12. Neuloh G, Schramm J: Intraoperative neurophysiological mapping and monitoring, in Deletis V, Shils J (eds): Neurophysiology in Neurosurgery: A Modern Intraoperative Approach, ed 1. New York: Academic Press, 2002, pp 386-387
13. Neuloh G, Schramm J: Monitoring of motor evoked potentials compared with somatosensory evoked potentials and microvascular Doppler ultrasonography in cerebral aneurysm surgery. J Neurosurg 100:389-399, 2004
14. Quinones-Hinojosa A, Alam M, Lyon R, Yingling CD, Lawton MT: Transcranial motor evoked potentials during basilar artery aneurysm surgery: technique application for 30 consecutive patients. Neurosurgery 54:916-924, 2004
15. Ravussin P, de Tribolet N: Total intravenous anesthesia with propofol for burst suppression in cerebral aneurysm surgery: preliminary report of 42 patients. Neurosurgery 32:236-240, 1993
16. Sala F, Niimi Y, Krzan MJ, Berenstein A, Deletis V: Embolization of a spinal arteriovenous malformation: correlation between motor evoked potentials and angiographic findings: technical case report. Neurosurgery 45:932-938, 1999
17. Suzuki K, Kodama N, Sasaki T, Matsumoto M, Konno Y, Sakuma J, et al: Intraoperative monitoring of blood flow insufficiency in the anterior choroidal artery during aneurysm surgery. J Neurosurg 98:507-514, 2003
18. Szelényi A, Bueno de Camargo A, Flamm E, Deletis V: Neurophysiological criteria for intraoperative prediction of pure motor hemiplegia during aneurysm surgery. Case report. J Neurosurg 99:575-578, 2003
19. Szelényi A, Kothbauer K, de Camargo AB, Langer D, Flamm ES, Deletis V: Motor evoked potential monitoring during cerebral aneurysm surgery: technical aspects and comparison of transcranial and direct cortical stimulation. Neurosurgery 57 (Suppl 4):331-338, 2005
20. Szelényi A, Langer D, Kothbauer K, Bueno de Camargo A, Flamm G, Deletis V: Intraoperative motor evoked potential monitoring in cerebral aneurysm surgery. J Neurosurg 96:174A, 2002 (Abstract)
21. Taniguchi M, Cedzich C, Schramm J: Modification of cortical stimulation for motor evoked potentials under general anesthesia: technical description. Neurosurgery 32:219-226, 1993
22. Taniguchi M, Nadstawek J, Pechstein U, Schramm J: Total intravenous anesthesia for improvement of intraoperative monitoring of somatosensory evoked potentials during aneurysm surgery. Neurosurgery 31:891-897, 1992
23. Woolsey CN, Erickson TC, Gilson WE: Localization in somatic sensory and motor areas of human cerebral cortex as determinded by direct recording of evoked potentials and electrical stimulation. J Neurosurg 51:476-506, 1979