Iatrogenic Seizures during Intraoperative Transcranial Motor-Evoked Potential Monitoring

Intraoperative neurophysiological monitoring (IONM) is an important tool for early detection of inadvertent damage and guide intra-operative manipulation during complex neurosurgical procedures. However trans-cranial stimulation can evoke an iatrogenic seizure and it remains a real concern while usi...

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Autores principales: Sokhal, Suman, Goyal, Keshav, Sokhal, Navdeep, Kumar, Niraj, Kedia, Shweta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703068/
https://www.ncbi.nlm.nih.gov/pubmed/31497142
http://dx.doi.org/10.4103/ajns.AJNS_96_18
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author Sokhal, Suman
Goyal, Keshav
Sokhal, Navdeep
Kumar, Niraj
Kedia, Shweta
author_facet Sokhal, Suman
Goyal, Keshav
Sokhal, Navdeep
Kumar, Niraj
Kedia, Shweta
author_sort Sokhal, Suman
collection PubMed
description Intraoperative neurophysiological monitoring (IONM) is an important tool for early detection of inadvertent damage and guide intra-operative manipulation during complex neurosurgical procedures. However trans-cranial stimulation can evoke an iatrogenic seizure and it remains a real concern while using Tc-MEP. We report a case of intra-operative seizure during transcranial electrical stimulation for motor evoked potential monitoring in a patient without seizure disorder, who underwent surgery for thoracic intra-medullary tumor excision.
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spelling pubmed-67030682019-09-06 Iatrogenic Seizures during Intraoperative Transcranial Motor-Evoked Potential Monitoring Sokhal, Suman Goyal, Keshav Sokhal, Navdeep Kumar, Niraj Kedia, Shweta Asian J Neurosurg Case Report Intraoperative neurophysiological monitoring (IONM) is an important tool for early detection of inadvertent damage and guide intra-operative manipulation during complex neurosurgical procedures. However trans-cranial stimulation can evoke an iatrogenic seizure and it remains a real concern while using Tc-MEP. We report a case of intra-operative seizure during transcranial electrical stimulation for motor evoked potential monitoring in a patient without seizure disorder, who underwent surgery for thoracic intra-medullary tumor excision. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6703068/ /pubmed/31497142 http://dx.doi.org/10.4103/ajns.AJNS_96_18 Text en Copyright: © 2019 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Sokhal, Suman
Goyal, Keshav
Sokhal, Navdeep
Kumar, Niraj
Kedia, Shweta
Iatrogenic Seizures during Intraoperative Transcranial Motor-Evoked Potential Monitoring
title Iatrogenic Seizures during Intraoperative Transcranial Motor-Evoked Potential Monitoring
title_full Iatrogenic Seizures during Intraoperative Transcranial Motor-Evoked Potential Monitoring
title_fullStr Iatrogenic Seizures during Intraoperative Transcranial Motor-Evoked Potential Monitoring
title_full_unstemmed Iatrogenic Seizures during Intraoperative Transcranial Motor-Evoked Potential Monitoring
title_short Iatrogenic Seizures during Intraoperative Transcranial Motor-Evoked Potential Monitoring
title_sort iatrogenic seizures during intraoperative transcranial motor-evoked potential monitoring
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703068/
https://www.ncbi.nlm.nih.gov/pubmed/31497142
http://dx.doi.org/10.4103/ajns.AJNS_96_18
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