Intraoperative monitoring of a patient with craniovertebral junction meningioma


Atalay A., Atalay B., ÜMİT YEMİŞCİ O., Karatas M., Altinörs N.

Turkish Neurosurgery, cilt.17, sa.2, ss.109-111, 2007 (Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 17 Sayı: 2
  • Basım Tarihi: 2007
  • Dergi Adı: Turkish Neurosurgery
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.109-111
  • Anahtar Kelimeler: intraoperative monitoring, somatosensory evoked potentials, tibial
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Intraoperative monitoring is considered as a useful tool to prevent neurological damage during different neurosurgical procedures. Somatosensory evoked potentials (SEP) allow simultaneous assessment of several cortical and sub cortical centers. In this case presentation, we report intraoperative monitoring of an elderly patient with craniovertebral junction meningioma. Tibial SEP responses were elicited by stimulation of the tibial nerve; the recordings were visually analyzed for the presence of the main peaks P40-N50, peak to peak amplitudes, peak latencies and compared to baseline recordings throughout the procedure. During decompression from the medial aspect of the medulla SEP responses were lost for a brief period of time. Surgeons achieved total tumor removal and the patient left the operating room without any neurological deficit.