Preprocedural Electrophysiological Monitoring in Craniofacial Surgery for a Patient with Chiari Malformation.
| Autor: | Tucker, Alexander M., Madsen, Peter J., Coyle, Anne M., King, Hunter, Zahner, Cristina, Lang, Shih-Shan, Taylor, Jesse A., Heuer, Gregory G. |
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| Předmět: |
TRANSPLANTATION of organs
tissues etc. APERT syndrome SOMATOSENSORY evoked potentials EVOKED potentials (Electrophysiology) MAGNETIC resonance imaging PREOPERATIVE care TREATMENT effectiveness ARNOLD-Chiari deformity INTRAOPERATIVE monitoring SURGICAL complications PEDIATRICS CRANIOSYNOSTOSES INTENSIVE care units PLASTIC surgery CRANIOFACIAL abnormalities CEREBELLUM PULMONARY arterial hypertension ELECTROPHYSIOLOGY SKULL surgery |
| Zdroj: | Cleft Palate Craniofacial Journal; Apr2024, Vol. 61 Issue 4, p712-716, 5p |
| Abstrakt: | Head and neck positioning is a key element of craniofacial reconstructive surgery and can become challenging when intervention necessitates broad exposure of the calvarium. We present a case of craniosynostosis secondary to Apert's syndrome requiring anterior and posterior cranial vault access during surgical correction. A modified sphinx position was used that required significant neck extension. The patient had concurrent Chiari I malformation with brain stem compression so intraoperative neuromonitoring (IONM) was used to ensure that there were no negative effects on the neural elements with positioning. This highlights benefits of IONM in a setting not typically associated with its use. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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