1999
DOI: 10.1002/(sici)1097-4598(199911)22:11<1538::aid-mus8>3.0.co;2-0
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Intraoperative electrical stimulation for identification of cranial nerve nuclei

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Cited by 22 publications
(5 citation statements)
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“…IONM helps the assessment of the integrity of the neural structures during surgical procedures. Since the first work of the group of Chang (Chang et al, 1999) to the study carried out on the huge sample of 100 patients made by Fernández-Conejero (Fernández-Conejero et al, 2022), the use of Cb-MEPs has become increasingly essential in monitoring the functioning of facial nerve during skull base surgery and/or in the brainstem surgery (Zhou and Kelly, 2001; Fukuda et al, 2008). To date, a general agreement of the usefulness of Cb-MEPs has been achieved, considering that it is able to determine the facial nerve outcome with a good accuracy (Akagami et al, 2005, Dong et al, 2005, Fukuda et al, 2008; Morota et al, 2010), despite some limitations due to the challenging interpretation if a response arises from peripheral or central stimulation (Tellez et al, 2016).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…IONM helps the assessment of the integrity of the neural structures during surgical procedures. Since the first work of the group of Chang (Chang et al, 1999) to the study carried out on the huge sample of 100 patients made by Fernández-Conejero (Fernández-Conejero et al, 2022), the use of Cb-MEPs has become increasingly essential in monitoring the functioning of facial nerve during skull base surgery and/or in the brainstem surgery (Zhou and Kelly, 2001; Fukuda et al, 2008). To date, a general agreement of the usefulness of Cb-MEPs has been achieved, considering that it is able to determine the facial nerve outcome with a good accuracy (Akagami et al, 2005, Dong et al, 2005, Fukuda et al, 2008; Morota et al, 2010), despite some limitations due to the challenging interpretation if a response arises from peripheral or central stimulation (Tellez et al, 2016).…”
Section: Discussionmentioning
confidence: 99%
“…IntraOperative NeuroMonitoring (IONM) of cranial nerves, especially of the facial nerve (Chang et al, 1999), is important to spare their functioning and to reduce the incidence of new neurological deficit in several neurosurgical procedures, above all in brainstem and skull base surgery (Isackson et al, 2005; Morota et al, 2010; Kodama et al, 2022).…”
Section: Introductionmentioning
confidence: 99%
“…Absence of response from single-pulse stimulation and presence of response from multi-pulse stimulation indicate that the response transmits via the corticobulbar tract rather than direct current spread [ 13 ]. In addition, cranial nuclei, especially facial colliculus, can be also mapped in the brainstem during surgery by direct stimulation [ 6 , 17 , 43 , 69 ]. Diligent application of IOM in brainstem surgery can reduce, or at least weigh in advance, the risk of serious functional deficits such as dysphasia, dysphonia, facial palsy, or hearing loss.…”
Section: Principles and Techniquesmentioning
confidence: 99%
“…12,20,39,40 As previously mentioned, oculomotor monitoring can be used to identify the location and extent of relevant structures. Here, the electrically evoked activity of the abducens nucleus can be tested using recording electrodes in the lateral rectus muscles.…”
Section: Metencephalic Lesionsmentioning
confidence: 99%