运用运动诱发电位和体感诱发电位进行清醒状态下动脉畸形夹闭术的麻醉技术：一例报告
Anesthetic technique for awake artery malformation clipping with motor evoked potential and somatosensory evoked potential: A case report.
作者信息
Zhou Hong-Yu, Chen Hong-Yang, Li Yu
机构信息
Department of Anesthesiology, West China Hospital, Chengdu 610041, Sichuan Province, China.
出版信息
World J Clin Cases. 2021 Sep 26;9(27):8207-8213. doi: 10.12998/wjcc.v9.i27.8207.
BACKGROUND
Awake craniotomy has been widely used for tumor resection, epilepsy surgery, deep brain stimulation, and carotid endarterectomy. The report on awake artery malformation clipping is rare, especially for anesthesia management.
CASE SUMMARY
A 62-year-old female diagnosed with malformation of anterior cerebral artery at the right side. We clipped the artery malformation with intraoperative neuromonitoring (IONM) in awake craniotomy. Spontaneous respiration was maintained throughout the procedure by nasopharyngeal airway during the surgery successfully.
CONCLUSION
The technique of monitoring anesthesia care can be performed successfully for the patient with IONM.
背景
清醒开颅手术已广泛应用于肿瘤切除、癫痫手术、脑深部电刺激和颈动脉内膜切除术。关于清醒状态下动脉畸形夹闭术的报道较少，尤其是麻醉管理方面。
病例摘要
一名62岁女性被诊断为右侧大脑前动脉畸形。我们在清醒开颅手术中通过术中神经监测（IONM）夹闭动脉畸形。手术过程中通过鼻咽气道成功维持了自主呼吸。
结论
对于接受IONM的患者，监测麻醉护理技术可以成功实施。
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