Neurosurgery Department, King's College Hospital Foundation Trust, London, UK.
INOMED Neurocare Ltd, London, UK.
World Neurosurg. 2022 Aug;164:64-68. doi: 10.1016/j.wneu.2022.04.081. Epub 2022 Apr 25.
Intraoperative neuromonitoring of motor functions experienced a dramatical revolution in the last years thanks to significant advances in anesthesiology procedures and both preoperative and intraoperative mapping techniques. Asleep, awake, and combined intraoperative mapping techniques were responsible for an improvement in the functional outcomes in neurosurgery, providing reliable and reproducible mapping of both projection and association fibers involved in motor control.
We report inter-M1 cortico-cortical evoked potential (CCEP) recording during asleep resection of a bilateral parasagittal meningioma with intraoperative neuromonitoring and motor mapping.
CCEPs were recorded between both M1 cortices with bipolar stimulations of both supplementary motor areas (10.5-11.5 μV).
Here, we provide evidence of intraoperative mapping of commissural fibres involved in motor control in a patient with asleep technique as well as a review of the potential tracts involved in the connectivity underlying the motor function.
得益于麻醉程序和术前及术中定位技术的显著进步，运动功能的术中神经监测在过去几年经历了巨大的变革。在神经外科手术中，睡眠、清醒和联合术中定位技术提高了功能预后，为参与运动控制的投射纤维和联合纤维提供了可靠且可重复的定位。
我们报告了一例双侧矢状窦旁脑膜瘤在术中神经监测和运动定位下进行睡眠切除时，M1 皮质间皮质诱发电位（CCEP）的记录。
在双侧运动皮质区进行双极刺激时，在两个运动皮质区之间记录到 CCEPs（10.5-11.5μV）。
在此，我们在一名接受睡眠技术的患者中提供了涉及运动控制的连合纤维术中定位的证据，并回顾了参与运动功能基础连接的潜在束。
