Intraoperative monitoring of sensory part of the trigeminal nerve using blink reflex during microvascular decompression for trigeminal neuralgia
| Autor: | Michele Alessandro Cavallo, Valentina Simioni, Enrico Granieri, Elisabetta Sette, Marco Farneti, Valeria Tugnoli, J.G. Capone |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_treatment Microvascular decompression NO Microvascular Decompression Surgery 03 medical and health sciences 0302 clinical medicine Trigeminal neuralgia Monitoring Intraoperative medicine Blink reflex Humans Corneal reflex Trigeminal Nerve Intraoperative monitoring Trigeminal nerve Blinking business.industry Reflex arc Hypoesthesia Middle Aged Trigeminal Neuralgia medicine.disease Facial nerve medicine.anatomical_structure 030220 oncology & carcinogenesis Anesthesia Surgery Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Acta neurochirurgica. 160(1) |
| ISSN: | 0942-0940 |
| Popis: | Intraoperative monitoring during cerebellopontine angle surgery is widely accepted. While techniques which monitor cranial motor nerves are commonly used, monitoring the sensory afferents has been challenging. Considering the reflex arc, blink reflex (BR) might be useful in monitoring the sensory part of the trigeminal nerve, the brainstem connections and the facial nerve. We describe the case of a patient who developed hemifacial hypoesthesia after microvascular decompression surgery for trigeminal neuralgia. Intraoperative BR showed a severe loss of R1 amplitude. BR might be a useful intraoperative technique to monitor the sensory part of the trigeminal nerve. |
| Databáze: | OpenAIRE |
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