The Role of Neurophysiological Monitoring during Complex Aneurysm Surgery: Report of Two Cases and Review of the Literature
| Autor: | Felix Hendrik Pahl, Matheus F. Oliveira, Clarissa Gambarra Nóbrega Nascimento, Roger Schmidt Brock, Henrique Oliveira Martins, Marcos de Queiroz Teles Gomes, José Erasmo Dal Col Lucio, José Francisco Pereira Júnior |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Surgical team
medicine.medical_specialty business.industry intraoperative angiography Intraoperative angiography neurophysiological monitoring lcsh:R lcsh:Surgery lcsh:Medicine lcsh:RD1-811 intracranial aneurysm surgery medicine.anatomical_structure Fundus (uterus) medicine Aneurysm surgery Neurology (clinical) Radiology Neurosurgery cardiovascular diseases Surgical treatment business Neurophysiological Monitoring |
| Zdroj: | Brazilian Neurosurgery, Vol 38, Iss 04, Pp 348-353 (2019) |
| ISSN: | 2359-5922 0103-5355 |
| DOI: | 10.1055/s-0039-1698787 |
| Popis: | The surgical treatment of intracranial aneurysms is a routine operation in the neurosurgeon practice. Complex aneurysms are those with morphological irregularities, usually large or giant; thrombosed, partially thrombosed or calcified; with aberrant fundus/neck ratio and near eloquent neurological structures. These cases demand special skills by the surgical team. The present article is a report of two cases of complex aneurysms successfully treated, with a discussion on the role of neurophysiological monitoring. In these two cases of supra- and infratentorial complex giant aneurysms, intraoperative monitoring was extremely relevant. Thus, we believe that treating complex and giant aneurysms carries several pitfalls, and the use of multimodal intraoperative monitoring is mandatory to mitigate risks and deliver the best result to the patient. |
| Databáze: | OpenAIRE |
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