13 34

Cited 0 times in

수술중신경계 감시를 시행한 뇌동맥류 결찰술이후 발생한 전맥락막동맥 경색증 1예

Other Titles
 Anterior Choroidal Artery Infarction with No Abnormalities of Motor Evoked Potentials During Cerebral Aneurysm Surgery -A Case Report- 
Authors
 김영석  ;  박윤길  ;  이호성  ;  박진영  ;  이주원  ;  표소은  ;  김다운 
Citation
 Journal of the Korean Association of EMG-Electrodiagnostic Medicine (대한근전도 전기진단의학회지), Vol.19(2) : 76-82, 2017 
Journal Title
 Journal of the Korean Association of EMG-Electrodiagnostic Medicine (대한근전도 전기진단의학회지) 
ISSN
 1229-6066 
Issue Date
2017
Keywords
intraoperative neurophysiological monitoring ; cerebral aneurysm ; anterior choroid infarction
Abstract
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.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161670
DOI
10.18214/jkaem.2017.19.2.76
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실)
Yonsei Authors
박윤길(Park, Yoon Ghil) ; 박진영(Park, Jinyoung) ; 이호성(Yi, Hosung)
사서에게 알리기
  feedback
Files in This Item:
T201705514.pdf Download
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse