Evoked Potential Monitoring Identifies Possible Neurological Injury During Positioning for Craniotomy

被引：13

作者：

Anastasian, Zirka H. ^{[1
]}

Ramnath, Brian ^{[2
]}

Komotar, Ricardo J. ^{[3
]}

Bruce, Jeffrey N. ^{[3
]}

Sisti, Michael B. ^{[3
]}

Gallo, Edward J. ^{[2
]}

Emerson, Ronald G. ^{[2
]}

Heyer, Eric J. ^{[1
,2
]}

机构：

[1] Columbia Univ, New York Presbyterian Hosp, Dept Anesthesiol, New York, NY 10032 USA

[2] Columbia Univ, New York Presbyterian Hosp, Dept Neurol, New York, NY 10032 USA

[3] Columbia Univ, New York Presbyterian Hosp, Dept Neurol Surg, New York, NY 10032 USA

来源：

ANESTHESIA AND ANALGESIA | 2009年 / 109卷 / 03期

关键词：

BRACHIAL PLEXOPATHY; NERVE INJURY; SURGERY; PATIENT;

D O I：

10.1213/ane.0b013e3181b086bd

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Soma tosensory-evoked potential (SSEP) monitoring is commonly used to detect changes. in nerve conduction and prevent impending nerve injury. We present a case series of two patients who had SSEP monitoring for their surgical craniotomy procedure, and Who, upon Positioning Supine with their head tilted 30 degrees-45 degrees, developed unilateral upper extremity SSEP changes. These SSEP changes were reversed when the patients were repositioned. These cases indicate the clinical usefulness of monitoring SSEPs while positioning the patient and adjusting position accordingly to prevent injury. (Anesth Analg 2009;109:817-821)

引用

页码：817 / 821

页数：5

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