Loss of Motor Evoked Potentials Due to Carotid Artery Retraction in an Exoscopic Clipping of a Basilar Tip Aneurysm

Justin W. Silverstein; Jason A. Ellis; David J. Langer

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Loss of Motor Evoked Potentials Due to Carotid Artery Retraction in an Exoscopic Clipping of a Basilar Tip Aneurysm

机译：Loss of Motor Evoked Potentials Due to Carotid Artery Retraction in an Exoscopic Clipping of a Basilar Tip Aneurysm

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摘要

The internal carotid artery (ICA) may inhibit visualization of a basilar tip aneurysm during an orbitozygomatic craniotomy. Retraction of the ICA may be warranted for better visualization; however, it may lead to impending neurological sequelae. Impending neurological injury due to ICA retraction may be mitigated if multi-modal neuromonitoring techniques are employed. The authors present a case report showing the contemporaneous loss of trans cranial motor evoked potentials and direct cortical motor evoked potentials during an exoscopic clipping of a basilar tip aneurysm due to ICA retraction and subsequent loss of perfusion to the vascular territory supplied by ICA. The motor evoked potentials immediately returned after retraction was removed and the patient awoke neurologically intact.

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来源
《The Neurodiagnostic journal》 |2020年第4期|289-299|共11页
作者
Justin W. Silverstein; Jason A. Ellis; David J. Langer;
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作者单位

Neuro Protective Solutions New York, New York;

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原文格式 PDF
正文语种英语
中图分类神经病学与精神病学;
关键词
Aneurysm clipping; craniotomy; direct cortical stimulation; evoked potentials; neuromonitoring; transcranial motor.;

Loss of Motor Evoked Potentials Due to Carotid Artery Retraction in an Exoscopic Clipping of a Basilar Tip Aneurysm

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