Why Somatosensory Evoked Potential is important in vascular neurosurgery, is really helpful?.
There has been a growing interest in using intraoperative neurophysiological monitoring (IONM) to reduce the incidence of stroke and paralysis in major vascular interventions Like MCA,ACA,ACOM, Aneurysm etc And moya moya disease . Electroencephalography, various neurophysiological evoked potential measurements, transcranial Doppler, and near-infrared spectroscopy are some of the modalities currently being used to detect neural injuries.
Somatosensory Evoked Potential (SSEP, Why Somatosensory Evoked Potential is important
The role of Somatosensory evoked potential to see the changes while clipping and bypass along with collateral supply of artery .
Transcranial electrical motor evoked potential (TCEMEP) is not preferable due to moderate – high current clip can come out and also may disturbed surgical site and most common cause is brain bulging .
Recording, Why Somatosensory Evoked Potential is important.
- Median and Tibial Nerve SSEP from all limbs is most preferable modality .
Alarm criteria
If SSEP signal drops less than two minutes is very much important to inform the surgeon , and significant of signal drop means collateral supply is not enough good , clip can be relocate from the neck of aneurysm . study says if signal drops less than 1-2 minutes possibility of praxia and plegia .
Conclusion
Procedural stroke and spinal cord ischemia remain some of the most devastating complications of major vascular procedures for carotid and aortic diseases. Neurophysiological monitoring modality can preferred in attempts to ascertain the well-being of the nervous system during and after surgery.
Feel free to ask Questions . Why Somatosensory Evoked Potential is important?
- Muscle relaxant drug can use ?.
- Inhalational drug can affect signals?.
- Contraindications?.
- Choice of electrode for placement both peripheral and central?.
- Is SSEP/EEG Effective in vascular surgeries?.
If find this type {Article} useful. Please share and comment down your suggestions.
Related to this short article i will be writing in details to make more understanding
Related to this article.
https://neurointraoperative.com/wp-admin/post.php?post=1990&action=edit
https://ekja.org/m/makeCookie.php?url=/m/journal/view.php?number=3563
I have to thank you for the efforts you have put in writing this site.
I’m hoping to see the same high-grade blog posts by you
in the future as well. In truth, your creative writing abilities has encouraged me to get my own,
personal website now 😉
Hi there! I understand this is kind of off-topic but I needed to ask.
Does managing a well-established blog like yours require a lot of work?
I am brand new to writing a blog however I do write in mmy diary daily.
I’d like to start a blog so I can share my personal experience and thoughts online.
Please let me know if you have any recommendations or tips for brand new aspiring bloggers.
Appreciate it!
you can write your questions and problems so i can help you .
I every time used to study post in news papers but now as I am a user
of net thus from now I am using net for articles or reviews, thanks to web.
Valuable information. Lucky me I found your website by
chance, and I’m surprised why this accident didn’t came about earlier!
I bookmarked it.
When you try very hard it automatic comes dear.
Somebody essentially help to make severely posts I would state.
That is the first time I frequented your web page and
thus far? I surprised with the research you made to make this particular put up incredible.
Excellent task!
Its such as you read my mind! You seem to understand so much about this,
such as you wrote the e book in it or something. I believe that you just can do with some percent to pressure the message home a bit,
but instead of that, this is fantastic blog. A fantastic read.
I’ll certainly be back.
This website was… how do I say it? Relevant!! Finally I have found something that helped me.
Kudos!
Hi can you tell me which article you really liked and also helped you.
Hi there, of course this paragraph is really
nice and I have learned lot of things from it on the topic of blogging.
thanks.
Thank you dear.