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首页> 外文期刊>Neurocirugia >Complicaciones intraoperatorias del mapeo corticosubcortical
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Complicaciones intraoperatorias del mapeo corticosubcortical

机译：皮质下皮质标测的术中并发症

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By looking through our cases and literature, an analysis of the surgical complications derived from direct cerebral stimulation under general anesthesia and local anesthesia and sedation was made. A retrospective descriptive study was performed including patients who were intervened in our centre from 2004 to 2008 and had the cortico-subcortical mapping technique. Common pre-operation variables were as follow: Age, sex, tumor localization and tumor's pathology; On patients intervened while awake, we collected the ASA, BMI and duration of the intervention. Afterwards, variable like epileptic attacks and cerebral edema were included in two groups. In addition, on those awake, respiratory and circulatory complications, local anesthesia toxicity, poor level of sedation, nausea and vomiting, pain and feeling uncomfortable with body posture were collected as well. A total of 20 patients had surgery. 10 of them were operated under local anesthesia and sedation with a mean age of 41 years, mean BMI of 26.8 and a pre-operatory ASA score of I or II ( except one patient with ASA III). The mean time duration of the surgical procedure was 5 hours and 20 minutes. On the other side, 10 patients were intervened with general anesthesia with a mean age of 55 years. There were no cases of cerebral edema in either group, although in 4 patients had epileptic attacks which resolved with cold saline irrigation. Five patients with local anesthesia and sedation did not have any complication, 2 patients showed desaturation episodes without further complications, three manifested hypertension episodes and two signs of feeling uncomfortable with body posture. None of the intra-operatory complications registered interfered wit the overall surgical procedure. This is a safe technique if performed following recommended indications and parameters. Regarding complications, respiratory complications are the most common and the most dangerous, as they can influence in the surgical procedure for difficult cases.
机译：通过回顾我们的病例和文献，对全麻，局部麻醉和镇静下直接脑刺激产生的手术并发症进行了分析。回顾性描述性研究包括2004年至2008年在我们中心接受干预并具有皮下皮层标测技术的患者。常见的术前变量如下：年龄，性别，肿瘤定位和肿瘤病理;对于清醒时进行干预的患者，我们收集了ASA，BMI和干预时间。之后，两组包括癫痫发作和脑水肿等变量。此外，对于那些清醒，呼吸和循环系统并发症，局部麻醉毒性，镇静水平差，恶心和呕吐，疼痛和身体姿势不舒服的症状也被收集。共有20例患者接受了手术。其中10例在局部麻醉和镇静下接受手术，平均年龄41岁，平均BMI为26.8，术前ASA评分为I或II（一名ASA III除外）。外科手术的平均持续时间为5小时20分钟。另一方面，对10例患者进行了全麻干预，平均年龄为55岁。两组均无脑水肿病例，尽管有4例癫痫发作可通过冷盐水冲洗解决。 5例局部麻醉并镇静的患者没有任何并发​​症，2例患者出现了不饱和发作，而没有进一步的并发症，3例表现为高血压发作，还有两个体位不适的症状。没有发现术中并发症影响整个手术过程。如果按照建议的指示和参数执行，则这是一种安全的技术。关于并发症，呼吸系统并发症是最常见和最危险的，因为它们会在困难病例的手术过程中产生影响。

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