The utility of intraoperative neurophysiological monitoring in surgical treatment for spinal arteriovenous malformations: A historical control study.
Intraoperative neurophysiological monitoring
Postoperative neurological deficits
Spinal arteriovenous fistula
Spinal arteriovenous malformations
Journal
Clinical neurophysiology practice
ISSN: 2467-981X
Titre abrégé: Clin Neurophysiol Pract
Pays: Netherlands
ID NLM: 101684308
Informations de publication
Date de publication:
2022
2022
Historique:
received:
29
07
2021
revised:
21
10
2021
accepted:
17
01
2022
entrez:
4
3
2022
pubmed:
5
3
2022
medline:
5
3
2022
Statut:
epublish
Résumé
This study sought to investigate the utility of intraoperative neurophysiological monitoring (IONM) in the surgical treatment for spinal arteriovenous malformations (SAVMs). We retrospectively reviewed the data of 39 patients who underwent surgical treatment for SAVMs. Twenty-eight patients who received multimodal IONM (transcranial electrical motor-evoked potentials [MEPs], somatosensory-evoked potentials, continuous electromyography, and bulbocavernosus reflex [BCR]) between 2011 and 2020 were compared to 11 historical controls between 2003 and 2011. The rates of postoperative neurological deficits (PNDs), neurophysiological warnings, and their characteristics were analyzed. PNDs were developed in 10.7% and 54.5% of patients in the IONM and historical control (non-IONM) groups, respectively ( The neurological outcome of the IONM group was significantly better than that of the historical control group in the surgical treatments for SAVMs. Multimodal IONM could be a useful tool to detect neurological damage with relatively high accuracy in this type of surgery.
Identifiants
pubmed: 35243187
doi: 10.1016/j.cnp.2022.01.004
pii: S2467-981X(22)00006-3
pmc: PMC8881687
doi:
Types de publication
Journal Article
Langues
eng
Pagination
59-64Informations de copyright
© 2022 International Federation of Clinical Neurophysiology. Published by Elsevier B.V.
Déclaration de conflit d'intérêts
The authors have no relevant financial or non-financial interests to disclose.
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