Cargando…
Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases
The hypoglossal nerve (CN XII) may be placed at risk during posterior fossa surgeries. The use of intraoperative monitoring (IOM), including the utilization of spontaneous and triggered electromyography (EMG), from tongue muscles innervated by CN XII has been used to reduce these risks. However, the...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Academy of Rehabilitation Medicine
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940613/ https://www.ncbi.nlm.nih.gov/pubmed/29765890 http://dx.doi.org/10.5535/arm.2018.42.2.352 |
_version_ | 1783321118347624448 |
---|---|
author | Kim, Seung Yeun Im, Hyo Won Choi, Young-Doo Kim, Keewon Kim, Jin Wook Kim, Yong Hwy Seo, Han Gil |
author_facet | Kim, Seung Yeun Im, Hyo Won Choi, Young-Doo Kim, Keewon Kim, Jin Wook Kim, Yong Hwy Seo, Han Gil |
author_sort | Kim, Seung Yeun |
collection | PubMed |
description | The hypoglossal nerve (CN XII) may be placed at risk during posterior fossa surgeries. The use of intraoperative monitoring (IOM), including the utilization of spontaneous and triggered electromyography (EMG), from tongue muscles innervated by CN XII has been used to reduce these risks. However, there were few reports regarding the intraoperative transcranial motor evoked potential (MEP) of hypoglossal nerve from the tongue muscles. For this reason, we report here two cases of intraoperative hypoglossal MEP monitoring in brain surgery as an indicator of hypoglossal deficits. Although the amplitude of the MEP was reduced in both patients, only in the case 1 whose MEP was disappeared demonstrated the neurological deficits of the hypoglossal nerve. Therefore, the disappearance of the hypoglossal MEP recorded from the tongue, could be considered a predictor of the postoperative hypoglossal nerve deficits. |
format | Online Article Text |
id | pubmed-5940613 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Academy of Rehabilitation Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-59406132018-05-15 Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases Kim, Seung Yeun Im, Hyo Won Choi, Young-Doo Kim, Keewon Kim, Jin Wook Kim, Yong Hwy Seo, Han Gil Ann Rehabil Med Case Report The hypoglossal nerve (CN XII) may be placed at risk during posterior fossa surgeries. The use of intraoperative monitoring (IOM), including the utilization of spontaneous and triggered electromyography (EMG), from tongue muscles innervated by CN XII has been used to reduce these risks. However, there were few reports regarding the intraoperative transcranial motor evoked potential (MEP) of hypoglossal nerve from the tongue muscles. For this reason, we report here two cases of intraoperative hypoglossal MEP monitoring in brain surgery as an indicator of hypoglossal deficits. Although the amplitude of the MEP was reduced in both patients, only in the case 1 whose MEP was disappeared demonstrated the neurological deficits of the hypoglossal nerve. Therefore, the disappearance of the hypoglossal MEP recorded from the tongue, could be considered a predictor of the postoperative hypoglossal nerve deficits. Korean Academy of Rehabilitation Medicine 2018-04 2018-04-30 /pmc/articles/PMC5940613/ /pubmed/29765890 http://dx.doi.org/10.5535/arm.2018.42.2.352 Text en Copyright © 2018 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Seung Yeun Im, Hyo Won Choi, Young-Doo Kim, Keewon Kim, Jin Wook Kim, Yong Hwy Seo, Han Gil Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases |
title | Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases |
title_full | Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases |
title_fullStr | Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases |
title_full_unstemmed | Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases |
title_short | Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases |
title_sort | intraoperative monitoring of hypoglossal nerve using hypoglossal motor evoked potential in infratentorial tumor surgery: a report of two cases |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940613/ https://www.ncbi.nlm.nih.gov/pubmed/29765890 http://dx.doi.org/10.5535/arm.2018.42.2.352 |
work_keys_str_mv | AT kimseungyeun intraoperativemonitoringofhypoglossalnerveusinghypoglossalmotorevokedpotentialininfratentorialtumorsurgeryareportoftwocases AT imhyowon intraoperativemonitoringofhypoglossalnerveusinghypoglossalmotorevokedpotentialininfratentorialtumorsurgeryareportoftwocases AT choiyoungdoo intraoperativemonitoringofhypoglossalnerveusinghypoglossalmotorevokedpotentialininfratentorialtumorsurgeryareportoftwocases AT kimkeewon intraoperativemonitoringofhypoglossalnerveusinghypoglossalmotorevokedpotentialininfratentorialtumorsurgeryareportoftwocases AT kimjinwook intraoperativemonitoringofhypoglossalnerveusinghypoglossalmotorevokedpotentialininfratentorialtumorsurgeryareportoftwocases AT kimyonghwy intraoperativemonitoringofhypoglossalnerveusinghypoglossalmotorevokedpotentialininfratentorialtumorsurgeryareportoftwocases AT seohangil intraoperativemonitoringofhypoglossalnerveusinghypoglossalmotorevokedpotentialininfratentorialtumorsurgeryareportoftwocases |