| Literature DB >> 34537902 |
Kazuhiro Ando1, Tetsuya Hiraishi2, Makoto Oishi2, Hitoshi Hasegawa2, Bumpei Kikuchi2, Manabu Natsumeda2, Tomoaki Suzuki2, Shoji Saito2, Tomoyoshi Ota2, Yuichi Yoshida2, Yukihiko Fujii2.
Abstract
The selective provocative test (SPT) under local anesthesia aids in protecting against ischemic complications during endovascular treatment. However, the use of this test under general anesthesia is not well described. Herein, we present a case of a 51-year-old man with a ruptured fusiform aneurysm in the middle cerebral artery M4 segment, which was thought to possibly supply the motor cortex. Internal trapping of the affected vessel and aneurysm by endovascular intervention was successfully performed after SPT using transcranial motor evoked potential (MEP) monitoring under general anesthesia. Transcranial MEP is suitable for neurological assessment during SPT under general anesthesia.Entities:
Keywords: Endovascular treatment; General anesthesia; Motor evoked potential monitoring; Selective provocative test
Mesh:
Year: 2021 PMID: 34537902 DOI: 10.1007/s00701-021-05001-z
Source DB: PubMed Journal: Acta Neurochir (Wien) ISSN: 0001-6268 Impact factor: 2.216