|Somatosensory evoked potentials: a simple neurophysiological monitoring technique in supra-aortal balloon test occlusions.|
|PMID: 9866766 Owner: NLM Status: MEDLINE|
|The aim of this study was to evaluate somatosensory evoked potentials (SEP) as a simple neurophysiological monitoring method in supra-aortal balloon test occlusions (BTO). The 13 patients examined had carcinoma of the larynx (n = 6), nasopharyngeal malignancy (n = 3), sphenoid meningioma (n = 2), mycotic aneurysm (n = 1), and a tumor of the carotid body (n = 1). Transfemoral balloon occlusion of the internal carotid artery was maintained for 30 min and monitored both clinically and by SEP. None of the 13 patients showed neurological deficits or pathological changes in the SEP. No thromboembolic complications occurred during BTO. In 11 cases the cervical vessels could be spared or reconstructed during surgery. No neurological symptoms occurred during the clinical follow-up. One patient died the day after BTO due to cardiac arrest. Neurophysiological monitoring of preoperative BTO using SEP is a technically simple method. A similar method has been shown to have a high sensitivity and reliability in carotid surgery.|
|F Schellhammer; W Heindel; W F Haupt; P Landwehr; K Lackner|
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|Type: Journal Article|
|Title: European radiology Volume: 8 ISSN: 0938-7994 ISO Abbreviation: Eur Radiol Publication Date: 1998|
|Created Date: 1999-03-02 Completed Date: 1999-03-02 Revised Date: 2004-11-17|
Medline Journal Info:
|Nlm Unique ID: 9114774 Medline TA: Eur Radiol Country: GERMANY|
|Languages: eng Pagination: 1586-9 Citation Subset: IM|
|Institut und Poliklinik für Radiologische Diagnostik, Universität zu Köln, Germany.|
|APA/MLA Format Download EndNote Download BibTex|
Aneurysm, Infected / surgery
Carcinoma / surgery
Carotid Artery Diseases / surgery
Carotid Artery, Internal*
Carotid Body Tumor / surgery
Cause of Death
Cerebrovascular Circulation / physiology*
Evoked Potentials, Somatosensory / physiology*
Heart Arrest / etiology
Laryngeal Neoplasms / surgery
Median Nerve / physiology*
Meningeal Neoplasms / surgery
Meningioma / surgery
Nasopharyngeal Neoplasms / surgery
Postoperative Complications / prevention & control
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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