Clinical Neurophysiology, Hospital Universitario La Princesa, C/Diego de León 62, 28006, Madrid, Spain.
Acta Neurochir (Wien). 2010 Jul;152(7):1231-4. doi: 10.1007/s00701-009-0585-x. Epub 2010 Jan 19.
We report the case of a 34-year-old woman who was 26 weeks pregnant and needed a brain surgery.
We performed intraoperative neurophysiological monitoring (IONM) with motor-evoked potentials (MEP) elicited by transcranial electrical stimulation and somatosensory-evoked potentials (SSEP). Additionally, uterine myometric tone from the mother and fetal heart rate were also monitored. Forty-three MEP and 35 SSEP trains were applied (energy delivered, 2.35 and 0.45 J, respectively).
No changes related to electrical stimulation in either uterine muscle tone or fetal heart rate were observed. No motor or new somatosensory deficits appeared.
Our findings suggest that IONM can be safely applied in pregnant women.
我们报告了一例 34 岁孕妇，她需要进行脑部手术。
我们使用经颅电刺激诱发的运动诱发电位（MEP）和体感诱发电位（SSEP）进行术中神经生理监测（IONM）。此外，还监测了母亲子宫肌电活动和胎儿心率。共应用了 43 次 MEP 和 35 次 SSEP 刺激（分别输送能量 2.35 和 0.45 J）。
未观察到电刺激与子宫肌电活动或胎儿心率相关的变化。未出现新的运动或感觉功能障碍。
我们的研究结果表明，IONM 可安全应用于孕妇。
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