scholarly journals Middle latency auditory-evoked potential index monitoring of cerebral function to predict functional outcome after emergency craniotomy in patients with brain damage

Author(s):  
Junya Tsurukiri ◽  
Katsuhiro Nagata ◽  
Akira Hoshiai ◽  
Taishi Oomura ◽  
Hiroyuki Jimbo ◽  
...  
Author(s):  
Michele Arigliani ◽  
Domenico M. Toraldo ◽  
Enrico Ciavolino ◽  
Caterina Lattante ◽  
Luana Conte ◽  
...  

To analyze the middle latency auditory evoked potential index (MLAEPi), compared to the standard bispectral index (BIS), as a method for evaluating the sedation level in drug-induced sleep endoscopy (DISE). In this controlled clinical study on a sample of 99 obstructive sleep apnea (OSA) or snoring patients, we compared the MLAEPi with the BIS after propofol infusion during the standard DISE technique in order to define the MLAEPi values within the observational window of the procedure. The DISE procedure was divided into eight steps, and we collected both MLAEPi and BIS data values from the same patient in every step. The MLAEPi showed a faster response than the BIS after propofol infusion during DISE. Therefore, the clinical use of the MLAEPi in evaluating the sedation level seems to be a good alternative to the current technological standards.


1986 ◽  
Vol 30 (3) ◽  
pp. 173-179 ◽  
Author(s):  
Stanley V. Catts ◽  
Michael S. Armstrong ◽  
Philip B. Ward ◽  
Neil McConaghy

2004 ◽  
Vol 18 (2) ◽  
pp. 196-200 ◽  
Author(s):  
Joanna C. Murrell ◽  
H.N.M. Groot ◽  
A.J. Venker-van Haagen ◽  
W.E. Brom ◽  
L.J. Hellebrekers

1990 ◽  
Vol 75 (3) ◽  
pp. 230-241 ◽  
Author(s):  
Gary P. Jacobson ◽  
Michael Privitera ◽  
Jean R. Neils ◽  
Amy S. Grayson ◽  
Hwa-Shein Yeh

2009 ◽  
Vol 27 (4) ◽  
pp. E9 ◽  
Author(s):  
A. Samy Youssef ◽  
Angela E. Downes

Object Intraoperative neurophysiological monitoring has become an integral part of vestibular schwannoma surgery. The aim of this article was to review the different techniques of intraoperative neurophysiological monitoring in vestibular schwannoma surgery, identify the clinical impact of certain pathognomonic patterns on postoperative outcomes of facial nerve function and hearing preservation, and highlight the role of postoperative medications in improving delayed cranial nerve dysfunction in the different reported series. Methods The authors performed a review of the literature regarding intraoperative monitoring in acoustic/vestibular schwannoma surgery. The different clinical series representing different monitoring techniques were reviewed. All the data from clinical series were analyzed in a comprehensive and comparative model. Results Intraoperative brainstem auditory evoked potential monitoring, direct cochlear nerve action potential monitoring, and facial nerve electromyography are the main tools used to assess the functional integrity of an anatomically intact cranial nerve. The identification of pathognomonic brainstem auditory evoked potential and electromyography patterns has been correlated with postoperative functional outcome. Recently, perioperative administration of intravenous hydroxyethyl starch and nimodipine as vasoactive and neuroprotective agents was shown to improve vestibular schwannoma functional outcome in few reported studies. Conclusions Recent advances in electrophysiological technology have considerably contributed to improvement in functional outcome of vestibular neuroma surgery in terms of hearing preservation and facial nerve paresis. Perioperative intravenous nimodipine and hydroxyethyl starch may be valuable additions to surgery.


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