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未破裂脳動脈瘤クリッピング術における皮質ー脊髄運動誘発電位モニタリング
https://sapmed.repo.nii.ac.jp/records/8120
https://sapmed.repo.nii.ac.jp/records/8120bb556f59-bfc3-481f-98d5-7058a0fb6fce
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
n134057641513.pdf (3.6 MB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||
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| 公開日 | 2009-03-24 | |||||||||||||||||||||
| タイトル | ||||||||||||||||||||||
| タイトル | 未破裂脳動脈瘤クリッピング術における皮質ー脊髄運動誘発電位モニタリング | |||||||||||||||||||||
| 言語 | ja | |||||||||||||||||||||
| 言語 | ||||||||||||||||||||||
| 言語 | jpn | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | intraoperative monitoring | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | motor evoked potential | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | surgical complications | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | unruptured cerebral aneurysm | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | anterior choroidal artery | |||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||
| 著者 |
山崎, 貴明
× 山崎, 貴明
× 佐々木, 雄彦
× 上山, 憲司
× 大里, 俊明
× 安斉, 公雄
× 及川, 光照
× 中川原, 譲二
× 中村, 博彦
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| 抄録 | ||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||
| 内容記述 | Object : We reported our experiences and usefulness of cortico-spinal motor evoked potencials (MEPs) to prevent postoperative motor impairment during surgery of unruptured cerebral aneurysms. Methods : Seven patients with unruptured cerebral aneurysms underwent MEPs monitoring during surgery because their surgical procedure involved prolonged temporary occlusion of main artery or risks of injury of lenticulostriate or anterior choroidal artery. A wire electrode was inserted into the cervical epidural space before induction of general anesthesia. Subsequently, we performed a standard frontotemporal craniotomy under general anesthesia with inhalation anesthetics and muscle relaxant. After exposure of the aneurysm, central sulcus was identified with the use of somatosensory evoked potential (SEP) phase reversal and a grid electrode strip with 4 electrodes was placed on precentral gyrus. The D response evoked by bipolar stimulation with monophasic squarewave pulse was monitored during manipulation around aneurysms and clipping. Results : The MEPs were successfully recorded in six of seven patients. In one patient with an ICA-posterior communicating artery aneurysm, MEPs was disappeared after temporary occlusion of proximal ICA, but recovered by immediate release of temporary occlusion after clipping of aneurysm neck. The other patient with an MCA aneurysm, the MEPs amplitude reduced accompanied with brain retraction, but immediately recovered after the brain retraction was released. No permanent postoperative motor impairment was encountered in those patients included in this study. Conclusion : We concluded that cortico-spinal MEP was useful for monitoring motor function and prevention of motor impairment during aneurysm surgery. | |||||||||||||||||||||
| 書誌情報 |
北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation 巻 15, 号 1, p. 3-8, 発行日 2005-03-01 |
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| ISSN | ||||||||||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||||||||||
| 収録物識別子 | 1340-5764 | |||||||||||||||||||||
| 著者版フラグ | ||||||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||
| その他のタイトル | ||||||||||||||||||||||
| その他のタイトル | Monitoring of Intraoperative Cortico-Spinal Motor Evoked Potentials (MEPs) during Clipping of Unruptured Aneurysms | |||||||||||||||||||||
| 出版者 | ||||||||||||||||||||||
| 出版者 | 中村記念病院 | |||||||||||||||||||||
