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신경혈관 중재술에서의 신경계감시의 역할: 척추 동정맥 기형의 증례

Other Titles
 Role of neurophysiological monitoring in neurovascular intervention: a case report of spinal arteriovenous malformation 
 박진영  ;  서상현  ;  김근수  ;  박중현  ;  권남우  ;  김다운  ;  엄효식  ;  박윤길 
 Journal of Intraoperative Neurophysiology (수술중신경계감시학회지), Vol.2(1) : 47-54, 2020-01 
Journal Title
 Journal of Intraoperative Neurophysiology (수술중신경계감시학회지) 
Issue Date
arteriovenous malformation ; embolization, therapeutic ; intraoperative neurophysiological monitoring
Endovascular embolization is one of the treatment options for spinal arteriovenous malformation (AVM). Intraoperative neurophysiological monitoring (IONM) is widely used in procedures where post-procedure neurological deterioration may occur. 24-year-old man, previously diagnosed with spinal AVM, visited a tertiary hospital complaining of weakness and tingling sensation on both lower extremities. After confirming the right 6th thoracic segmental artery as the target point of the AVM feeder, an endovascular procedure was performed with IONM. During embolization using a nonadhesive liquid embolic agent (Onyx®), the amplitude of motor evoked potentials of the bilateral tibialis anterior and right abductor hallucis brevis were decreased over the alarm criteria. After the procedure, the patient developed weakness in both legs, hypoesthesia, and neurogenic bladder. After 4 weeks of rehabilitation, motor and bladder function partially improved. This case presentation is to emphasize the role of the continuous multimodality IONM in making important decisions during neuroendovascular procedures.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Keun Su(김근수) ORCID logo https://orcid.org/0000-0002-3384-5638
Park, Yoon Ghil(박윤길) ORCID logo https://orcid.org/0000-0001-9054-5300
Park, Jung Hyun(박중현) ORCID logo https://orcid.org/0000-0003-3262-7476
Park, Jinyoung(박진영) ORCID logo https://orcid.org/0000-0003-4042-9779
Suh, Sang Hyun(서상현) ORCID logo https://orcid.org/0000-0002-7098-4901
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