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Multimodal Intraoperative Neuromonitoring in Aneurysm Surgery
- Publication Year :
- 2017
- Publisher :
- Elsevier, 2017.
-
Abstract
- Following aneurysmal subarachnoid hemorrhage, the primary goal of treatment is to exclude the vascular malformation from the intracranial circulation, while preserving the parent artery. In unruptured aneurysms, the decision whether to treat or observe the malformation is made on a case-by-case basis. In this regard, the ISUIA (International Study of Unruptured Intracranial Aneurysms) investigators suggested that aneurysm size and location were independent predictors for aneurysm rupture.1 ISUIA examined 1692 patients with cerebral aneurysms with a mean follow-up time of 4.1 years. Rupture rates differed depending on size and location, ranging from 0% in aneurysms 25 mm located in the posterior circulation. More recently, UCAS (Unruptured Cerebral Aneurysm Study) reported results similar to ISUIA. However, other evidence has contradicted these studies, with a higher percentage of small aneurysms reported among case series of ruptured intracranial aneurysms. This indicates a discrepancy between the ISUIA and UCAS data and the size of ruptured aneurysms seen in routine clinical practice.
- Subjects :
- International Subarachnoid Aneurysm Trial
medicine.medical_specialty
Monitoring
Somatosensory
Postoperative deficits
03 medical and health sciences
0302 clinical medicine
Aneurysm
medicine
Humans
Cerebral aneurysms
Intraoperative monitoring
Somatosensory evoked potentials
Transcranial motor evoked potentials
Monitoring, Intraoperative
Evoked Potentials, Motor
Evoked Potentials, Somatosensory
Surgery
Neurology (clinical)
Evoked Potentials
Intraoperative
business.industry
Multimodal Intraoperative Neuromonitoring in Aneurysm Surgery
medicine.disease
Cerebral aneurysms, Intraoperative monitoring, Postoperative deficits, Somatosensory evoked potentials, Transcranial motor evoked potentials
Motor
Somatosensory evoked potential
030220 oncology & carcinogenesis
Anesthesia
Aneurysm surgery
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....c3aaaecbac16c2eea11b1495a9441dda