Document Detail


Anesthesia considerations for monitoring TCMEPs in adults diagnosed with poliomyelitis as children: a case report.
MedLine Citation:
PMID:  24783748     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CASE REPORT: We report the rapid loss of only lower extremity TCMEPs bilaterally during a C6-C7, C7-T1 ACDF in a 67-year-old female to treat left-sided C7-C8 radiculopathy and C6-T1 foraminal stenosis. The general anesthetic maintenance regimen of 0.3 MAC sevoflurane and 100 microg/kg/min propofol was paused, and a wake-up test was initiated. Full upper and lower extremity motor function was observed. A thorough review of the patient's medical history revealed the potential risk factor of full recovery from poliomyelitis as a child. The sevoflurane was removed from the anesthetic regimen, and the lower extremity TCMEPs returned and were present for the remainder of the surgery.
Authors:
David W Allison; Jeffrey H Gertsch; Mark A Mahan; Geoffrey L Sheean; Justin M Brown
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Neurodiagnostic journal     Volume:  54     ISSN:  2164-6821     ISO Abbreviation:  Neurodiagn J     Publication Date:  2014 Mar 
Date Detail:
Created Date:  2014-05-02     Completed Date:  2014-05-29     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  101573167     Medline TA:  Neurodiagn J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  28-35     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Anesthetics, General / administration & dosage*
Diskectomy / methods
Evoked Potentials, Motor / drug effects*
Female
Humans
Intraoperative Neurophysiological Monitoring / methods*
Magnetoencephalography / methods*
Postpoliomyelitis Syndrome / diagnosis*
Spinal Fusion / methods*
Transcranial Magnetic Stimulation / methods*
Chemical
Reg. No./Substance:
0/Anesthetics, General

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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