caa a22 4500 445328916 CHVBK 20180317142730.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s10143-010-0276-3 doi (NATIONALLICENCE)springer-10.1007/s10143-010-0276-3 Detection of ischemia in endovascular therapy of cerebral aneurysms: a perspective in the era of neurophysiological monitoring [Elektronische Daten] [Lukui Chen, Robert Spetzler, Cameron McDougall, Felipe Albuquerque, Bainan Xu] A prospective study was performed to evaluate the efficacy of neurophysiological monitoring (NPM) techniques in the detection of ischemic changes that may be seen during endovascular treatment of cerebral aneurysms. Sixty three patients underwent NPM during first-stage endovascular treatment of cerebral aneurysms. The endovascular procedures included coil embolization (26 patients), balloon-remodeling coiling (16 patients), stent-assisted coiling (ten patients), balloon-stent-assisted coiling (nine patients), and balloon test occlusion (two patients). NPM included electroencephalography, somatosensory evoked potentials, and brain stem auditory evoked potentials, depending on the location of the aneurysm and its associated vascular territory. NPM changes were seen in three patients (4.8%), and the procedures were altered immediately. No neurological changes were found postendovascularly. Ten patients demonstrated abnormal angiographic findings without concurrent NPM changes, of which five patients developed visual disturbance or hemiparesis. It is concluded that NPM is a valuable monitoring tool for endovascular treatment of cerebral aneurysms. Springer-Verlag, 2010 Cerebral aneurysm nationallicence Endovascular treatment nationallicence Neurophysiological monitoring nationallicence Chen Lukui Department of Neurosurgery, Zhongshan Hospital, Xiamen University, 361004, Xiamen, China aut Spetzler Robert Barrow Neurological Institute, Phoenix, AZ, USA aut McDougall Cameron Barrow Neurological Institute, Phoenix, AZ, USA aut Albuquerque Felipe Barrow Neurological Institute, Phoenix, AZ, USA aut Xu Bainan Department of Neurosurgery, Chinese PLA General Hospital, Chinese PLA Postgraduate Medical School, 28, Fuxing Road, Haidian District, 100853 Beijing, 361004, Xiamen, China aut Neurosurgical Review Springer-Verlag 34/1(2011-01-01), 69-75 0344-5607 34:1<69 2011 34 10143 https://doi.org/10.1007/s10143-010-0276-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10143-010-0276-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chen Lukui Department of Neurosurgery, Zhongshan Hospital, Xiamen University, 361004, Xiamen, China aut NATIONALLICENCE 700 1- Spetzler Robert Barrow Neurological Institute, Phoenix, AZ, USA aut NATIONALLICENCE 700 1- McDougall Cameron Barrow Neurological Institute, Phoenix, AZ, USA aut NATIONALLICENCE 700 1- Albuquerque Felipe Barrow Neurological Institute, Phoenix, AZ, USA aut NATIONALLICENCE 700 1- Xu Bainan Department of Neurosurgery, Chinese PLA General Hospital, Chinese PLA Postgraduate Medical School, 28, Fuxing Road, Haidian District, 100853 Beijing, 361004, Xiamen, China aut NATIONALLICENCE 773 0- Neurosurgical Review Springer-Verlag 34/1(2011-01-01), 69-75 0344-5607 34:1<69 2011 34 10143 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer