Monitoring of Short-latency Somatosensory Evoked Potentials during Surgery for Cervical Cord and Posterior Fossa Lesions

作者: Ei-ichirou URASAKI , Shin-ichi WADA , Yasuhiko MATSUKADO , Akira YOKOTA , Shigeaki MATSUOKA

DOI: 10.2176/NMC.28.546

关键词:

摘要: Short-latency somatosensory evoked potentials (SSEPs) following median nerve stimulation were monitored intraoperatively in 23 patients with cervical cord or posterior fossa lesions. The SSEPs consisted of four subcortical (P9, P11, P13, and N16) prior to the appearance cortical potentials. Potentials also directly recorded from surgical fields some cases. Loss components due procedures was regarded as abnormal, changes correlated well generating source each component. Postoperative neurological deficits noted nine who had potentials, but three cases transient. authors conclude that monitoring is useful detecting interruption medial lemniscal pathways during surgery.

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