Value of visual evoked potential monitoring during trans-sphenoidal pituitary surgery

被引:40
|
作者
Chacko, AG
Babu, KS
Chandy, MJ
机构
[1] Chrstn. Medical College and Hospital, Vellore
[2] Sect. Neurosurg. and Neurophysiol., Department of Neurological Sciences, Chrstn. Medical College and Hospital
关键词
pituitary adenomas; intraoperative VEP monitoring; trans-sphenoidal surgery;
D O I
10.1080/02688699650040133
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The visual outcome of 22 patients undergoing trans-sphenoidal excision of pituitary macroadenomas with intraoperative flash visual evoked potential (VEP) monitoring (Group A), was compared with a non-randomized group of 14 patients who had undergone similar operations without VEP monitoring (Group B). Tumour size, preoperative visual acuity, peripheral fields, and latencies and amplitudes of P1 and P2 were analysed to ascertain the best predictor of postoperative visual function. It was found that patients in Group A had a significantly greater improvement in field defects than those in Group B. There was no difference in postoperative improvement in visual acuity between the two groups. None of the variables analysed were good predictors of visual outcome.
引用
收藏
页码:275 / 278
页数:4
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