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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 76 - 82 (7page)
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초록· 키워드
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Motor evoked potentials (MEPs) with somatosensory evoked potentials (SSEPs) have been used to prevent neurological complication during cerebral aneurysm surgery. This case shows postoperative anterior choroidal artery (AChA) infarction with decreased SSEPs, in spite of preserved MEPs during aneurysm clipping. A 58-year-old man with ruptured aneurysm between right internal carotid artery and AChA received aneurysm clipping. During temporal arterial clipping, left tibial SSEPs amplitude decreased by 95% and median SSEPs decreased by 89% of the baseline. SSEPs changes lasted for 10 minutes and there was no change of MEPs. After operation, mental state changed to drowsy and left side weakness occurred. Cerebral angiography showed non-visualized right AChA and brain MRI showed right AChA infarction. MEPs are difficult to be performed continuously because patient movement may interfere with microsurgery and raise safety concerns. We suppose that SSEPs are possibly complement of MEPs to take consider the subcortical perfusion such as AChA.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Bacigaluppi S / 2012 / Monitoring techniques for prevention of procedure-related ischemic damage in aneurysm surgery / World Neurosurg 78 : 276 ~ 288
Byoun HS / 2016 / The incidence of and risk factors for ischemic complications after microsurgical clipping of unruptured middle cerebral artery aneurysms and the efficacy of
Friedman JA / 2001 / Ischemic complications of surgery for anterior choroidal artery aneurysms / J Neurosurg 94 : 565 ~ 572
Leys D / 1994 / Anterior choroidal artery territory infarcts. Study of presumed mechanisms / Stroke 25 : 837 ~ 842
Lopez JR / 1999 / The use of electrophysiological monitoring in the intraoperative management of intracranial aneurysms / J Neurol Neurosurg Psychiatry 66 : 189 ~ 196
Byoun HS / 2016 / The incidence of and risk factors for ischemic complications after microsurgical clipping of unruptured middle cerebral artery aneurysms and the efficacy of
Friedman JA / 2001 / Ischemic complications of surgery for anterior choroidal artery aneurysms / J Neurosurg 94 : 565 ~ 572
Leys D / 1994 / Anterior choroidal artery territory infarcts. Study of presumed mechanisms / Stroke 25 : 837 ~ 842
Lopez JR / 1999 / The use of electrophysiological monitoring in the intraoperative management of intracranial aneurysms / J Neurol Neurosurg Psychiatry 66 : 189 ~ 196
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