Electroencephalogram Monitoring During Intracranial Surgery for Moyamoya Disease
| Autor: | Sanjeev V. Kothare, Joseph Kaleyias, Lixia Gao, Bonnie McKenzie, Mark A. Rockoff, Craig D. McClain, Blaise F. D. Bourgeois, Martina Vendrame, Sheryl Manganaro, Michael Scott, Edward R. Smith, Tobias Loddenkemper |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Electroencephalography Central nervous system disease Young Adult Developmental Neuroscience Monitoring Intraoperative medicine Humans Moyamoya disease Young adult Child Craniotomy Retrospective Studies Cerebral Revascularization medicine.diagnostic_test Vascular disease business.industry Infant Retrospective cohort study Perioperative medicine.disease Surgery Neurology Child Preschool Anesthesia Pediatrics Perinatology and Child Health Female Neurology (clinical) Moyamoya Disease business Vascular Surgical Procedures Follow-Up Studies |
| Zdroj: | Pediatric Neurology. 44:427-432 |
| ISSN: | 0887-8994 |
| Popis: | We describe our experience with intraoperative electroencephalography in moyamoya surgery, a method to monitor for ischemic changes during the procedure and to minimize the risk of intraoperative and perioperative stroke. Case records and intraoperative electroencephalography recordings of all patients (n = 220) treated with surgical revascularization for moyamoya (pial synangiosis) performed for 14 years (1994-2008) were reviewed. Electroencephalographic slowing occurred in 100 cases (45.5%), and was persistent in nine cases (9%). Slowing coincided with specific operative manipulations, most commonly while suturing the donor vessel to the pia, and during closure of the craniotomy. Slowing generally occurred bilaterally, independently of the side of intervention. The presence, length, and severity of slowing were not predictive of perioperative ischemic events. We present additional data on intraoperative electroencephalography with a modified montage to accommodate the craniotomy. Although not predictive of perioperative ischemic events in this series, electroencephalographic changes were correlated with specific operative interventions, and revealed global responses to unilateral manipulation. These findings suggest that prospective analyses of this technique may elucidate additional methods of predicting (and possibly preventing) perioperative ischemic events. |
| Databáze: | OpenAIRE |
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