Safe transcranial electric stimulation motor evoked potential monitoring during posterior spinal fusion in two patients with cochlear implants.

Autor: Yellin JL; Division of Orthopaedic Surgery, The Children's Hospital of Philadelphia, 34th Street and Civic Center Blvd., Richard D. Wood Ambulatory Care Building, Second Floor, Philadelphia, PA, 19104, USA., Wiggins CR; Specialty Care (Intraoperative Neurophysiologic Monitoring), One American Center, 3100 West End Avenue, Suite 800, Nashville, TN, 37203, USA., Franco AJ; Specialty Care (Intraoperative Neurophysiologic Monitoring), One American Center, 3100 West End Avenue, Suite 800, Nashville, TN, 37203, USA., Sankar WN; Division of Orthopaedic Surgery, The Children's Hospital of Philadelphia, 34th Street and Civic Center Blvd., Richard D. Wood Ambulatory Care Building, Second Floor, Philadelphia, PA, 19104, USA. Sankarw@email.chop.edu.
Jazyk: angličtina
Zdroj: Journal of clinical monitoring and computing [J Clin Monit Comput] 2016 Aug; Vol. 30 (4), pp. 503-6. Date of Electronic Publication: 2015 Jun 24.
DOI: 10.1007/s10877-015-9730-7
Abstrakt: Transcranial electric stimulation (TES) motor evoked potentials (MEPs) have become a regular part of intraoperative neurophysiologic monitoring (IONM) for posterior spinal fusion (PSF) surgery. Almost all of the relative contraindications to TES have come and gone. One exception is in the case of patients with a cochlear implant (CI). Herein we illustrate two cases of pediatric patients with CIs who underwent PSF using TES MEPs as part of IONM. In both instances the patients displayed no untoward effects from TES, and post-operatively both CIs were intact and functioning as they were prior to surgery.
Databáze: MEDLINE
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