Intraoperative Neurophysiological Monitoring for Intracranial Aneurysm Surgery

Laura B. Hemmer*, Carine Zeeni, Bernard R. Bendok, Antoun Koht

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Intracranial aneurysm rupture presents a high risk of neurologic morbidity and mortality. To avoid a potential rupture in an intact aneurysm or to facilitate management and minimize the risk of a re-bleed in a ruptured aneurysm, treatment modalities, such as endovascular interventions and surgical aneurysm clipping, are performed. To help provide a real-time functional assessment of neurologic function intraoperatively and thus allow identification and correction of potentially deleterious maneuvers, intraoperative neuromonitoring can be performed. There is growing literature support for use of evoked potentials for these procedures, particularly for intracranial aneurysm clipping.

Original languageEnglish (US)
Title of host publicationKoht, Sloan, Toleikis’s Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals
Subtitle of host publicationThird Edition
PublisherSpringer International Publishing
Pages437-451
Number of pages15
ISBN (Electronic)9783031097195
ISBN (Print)9783031097188
DOIs
StatePublished - Jan 1 2022

Keywords

  • Adenosine
  • Clip ligation
  • Endovascular therapy
  • Intracranial aneurysm
  • Intraoperative neuromonitoring

ASJC Scopus subject areas

  • General Medicine

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