术中经颅运动诱发电位监测期间的医源性癫痫发作
Iatrogenic Seizures during Intraoperative Transcranial Motor-Evoked Potential Monitoring.
作者信息
Sokhal Suman, Goyal Keshav, Sokhal Navdeep, Kumar Niraj, Kedia Shweta
机构信息
Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Asian J Neurosurg. 2019 Jul-Sep;14(3):967-969. doi: 10.4103/ajns.AJNS_96_18.
Intraoperative neurophysiological monitoring (IONM) is an important tool for early detection of inadvertent damage and guide intra-operative manipulation during complex neurosurgical procedures. However trans-cranial stimulation can evoke an iatrogenic seizure and it remains a real concern while using Tc-MEP. We report a case of intra-operative seizure during transcranial electrical stimulation for motor evoked potential monitoring in a patient without seizure disorder, who underwent surgery for thoracic intra-medullary tumor excision.
术中神经生理监测（IONM）是早期发现意外损伤以及在复杂神经外科手术过程中指导术中操作的重要工具。然而，经颅刺激可诱发医源性癫痫发作，在使用经颅运动诱发电位（Tc-MEP）时，这仍是一个实际问题。我们报告了1例在无癫痫病史的患者中，于经颅电刺激监测运动诱发电位期间发生术中癫痫发作的病例，该患者接受了胸椎髓内肿瘤切除术。
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