Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases
Annals of Rehabilitation Medicine
; : 352-357, 2018.
Article
em En
| WPRIM
| ID: wpr-714264
Biblioteca responsável:
WPRO
ABSTRACT
The hypoglossal nerve (CN XII) may be placed at risk during posterior fossa surgeries. The use of intraoperative monitoring (IOM), including the utilization of spontaneous and triggered electromyography (EMG), from tongue muscles innervated by CN XII has been used to reduce these risks. However, there were few reports regarding the intraoperative transcranial motor evoked potential (MEP) of hypoglossal nerve from the tongue muscles. For this reason, we report here two cases of intraoperative hypoglossal MEP monitoring in brain surgery as an indicator of hypoglossal deficits. Although the amplitude of the MEP was reduced in both patients, only in the case 1 whose MEP was disappeared demonstrated the neurological deficits of the hypoglossal nerve. Therefore, the disappearance of the hypoglossal MEP recorded from the tongue, could be considered a predictor of the postoperative hypoglossal nerve deficits.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Língua
/
Encéfalo
/
Neoplasias Infratentoriais
/
Monitorização Intraoperatória
/
Potencial Evocado Motor
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Eletromiografia
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Nervo Hipoglosso
/
Músculos
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Annals of Rehabilitation Medicine
Ano de publicação:
2018
Tipo de documento:
Article