Intraoperative Neuromonitoring for Spinal Surgery in a Pregnant Patient: Case Report and Literature Review

被引：1

作者：

Tyagi, Mayank ^{[1
]}

Bir, Megha ^{[2
]}

Sharma, Akanksha ^{[2
]}

Singh, Pankaj K. ^{[3
]}

Bindra, Ashish ^{[1
]}

Chandra, P. Sarat ^{[3
]}

机构：

[1] All India Inst Med Sci, Dept Neuroanesthesia & Crit Care, New Delhi, India

[2] All India Inst Med Sci, Dept Physiol, New Delhi, India

[3] All India Inst Med Sci, Dept Neurosurg, New Delhi, India

来源：

NEUROLOGY INDIA | 2022年 / 70卷

关键词：

Anesthesia; fetal monitoring; intraoperative neuromonitoring; pregnancy; spine surgery; ANESTHETIC MANAGEMENT; STIMULATION;

D O I：

10.4103/0028-3886.360931

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

We report the strategy of anesthesia and intraoperative neurophysiological monitoring (IONM) in a 29-year-old, 22 weeks pregnant patient posted for surgery for aggressive vertebral body hemangioma. We used propofol and fentanyl-based anesthesia for IONM. Motor-evoked potentials (MEP) and somatosensory-evoked potentials (SSEP) were used to monitor the neural tracts during surgery. Fetal heart rate monitoring was done preoperatively and postoperatively. Train of 8, 75 mu s duration pulse, 250-500 Hz stimulus was used for MEP and 30 mA, 200-400 mu s, 3-5 Hz was used for SSEP. No new motor or somatosensory deficits appeared. Our findings suggest that IONM can be safely done in pregnant women.

引用

页码：S314 / S317

页数：4

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