Neurophysiopathology Unit, Neuroscience Department, S. Maria University Hospital, Via Tristano Di Joannuccio 05100, Terni, Italy.
Health Physic Unit, S. Maria University Hospital, Terni, Italy.
Neurol Sci. 2024 Jan;45(1):119-127. doi: 10.1007/s10072-023-07022-1. Epub 2023 Aug 24.
Intraoperative neurophysiological monitoring (IONM) is needed for evaluating and demonstrating the integrity of the central and peripheral nervous system during surgical manoeuvres that take place in proximity to eloquent motor and somatosensory nervous structures. The integrity of the monitored motor pathways is not always followed by consistent clinical normality, particularly in the first hours/days following surgery, when surgical resection involves brain structures such as the supplementary motor areas (SMA). We report the case of a patient who underwent surgical excision of a right frontal glioblastoma with normal preoperative, intraoperative (IONM), and postoperative central motor conduction, but with persistent postoperative hemiplegia (> 6 months). The literature regarding SMA syndrome and its diagnosis and prognosis is reviewed.
术中神经生理学监测（IONM）对于评估和显示在靠近语言运动和体感神经结构的手术操作期间中枢和周围神经系统的完整性是必要的。监测运动通路的完整性并不总是伴随着一致的临床正常，特别是在手术后的头几个小时/几天，当手术切除涉及大脑结构如辅助运动区（SMA）时。我们报告了一例患者，他接受了右侧额部胶质母细胞瘤的手术切除，术前、术中（IONM）和术后中央运动传导均正常，但术后持续性偏瘫（>6 个月）。回顾了关于 SMA 综合征及其诊断和预后的文献。
