A novel needle electrode for intraoperative fourth cranial nerve neurophysiological mapping.
Intraoperative neurophysiological mapping
Needle electrode
Trochlear nerve
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
14
04
2020
accepted:
28
08
2020
revised:
09
08
2020
pubmed:
11
9
2020
medline:
7
10
2021
entrez:
10
9
2020
Statut:
ppublish
Résumé
Trochlear nerve (CN-IV) mapping method has not been confirmed to date. The compound muscle action potential (CMAP) of CN-IV cannot be recorded because of the low mapping sensitivity and anatomical characteristics of the superior oblique muscle (SOM). The aim of this study was to evaluate the effectiveness of a novel needle electrode (NNE), for the intraoperative mapping of CN-IV. The NNEs were inserted in the target extraocular muscles in 19 patients. We compared the CMAP amplitude of the NNE with that of the conventional needle electrode (CNE). Furthermore, we investigated the dissimilarity between the CMAP of the CN-IV and other extraocular cranial nerves (ECNs) and the correlation between the readings of the CN-IV mapping and its postoperative functional outcome. The CMAP of CN-IV has been measured in nine patients (47.4%). The CMAP of CN-IV was distinguishable from other ECNs. The CMAP of the NNE was found to be three times higher than that of the CNE. Although the NNE has shown the potential to record the CN-IV's CMAP, 4 cases ended up having a CN-IV postoperative dysfunction. For the first time, we confirmed the possibility of intraoperative mapping the CN-IV using an NNE inserted into the SOM. The NNE can also be useful for other neurophysiological monitoring methods.
Identifiants
pubmed: 32909164
doi: 10.1007/s10143-020-01381-5
pii: 10.1007/s10143-020-01381-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2355-2361Subventions
Organisme : Grants-in-Aid for Scientific Research
ID : JP18K12110
Informations de copyright
© 2020. Springer-Verlag GmbH Germany, part of Springer Nature.
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