Intraoperative Neurophysiological Monitoring in Posterior Fossa Surgeries

Introduction: Surgery involving the brainstem is one of the most demanding procedures due to the abundance of neural structures and significantly increases the risk of postoperative neurologic deficits. Intraoperative Neurophysiological Monitoring has emerged as a tool, offering instantaneous feedba...

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Detalles Bibliográficos
Autores: Pinheiro, Denise Spinola, Cavalheiro, Sergio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Sociedade Brasileira de Neurocirurgia Pediátrica (SBNPed)
Repositorio:Archives of Pediatric Neurosurgery
Idioma:inglés
OAI Identifier:oai:ojs.www.archpedneurosurg.com.br:article/215
Acceso en línea:https://www.archpedneurosurg.com.br/sbnped2019/article/view/215
Access Level:acceso abierto
Palabra clave:intraoperative monitoring
brainstem mapping
cranial nerves
brainstem surgery
evoked potential
Descripción
Sumario:Introduction: Surgery involving the brainstem is one of the most demanding procedures due to the abundance of neural structures and significantly increases the risk of postoperative neurologic deficits. Intraoperative Neurophysiological Monitoring has emerged as a tool, offering instantaneous feedback on the functional status of the neural structures located in the posterior fossa. Material and methods: An extensive review of the literature relating to Intraoperative Neurophysiological Monitoring in Posterior Fossa Surgeries was performed. Mapping and monitoring techniques were detailed. Conclusion: The use of intraoperative neurophysiological monitoring has made the procedure safer, even with a distorted anatomy, allowing for greater resection and less chance of deficits.