Letter to the Editor. Intraoperative neuromonitoring in elective aneurysm clipping: methodology matters

View More View Less
  • 1 Hospital Universitari de Bellvitge-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain;
  • 2 Complejo Hospitalario de Navarra–B, Pamplona-Iruña, Navarra, Spain;
  • 3 Mount Sinai West Hospital, New York, NY;
  • 4 Institute of Neurology and Neurosurgery, Albert Einstein College of Medicine, New York, NY;
  • 5 University Hospital Dubrava, Zagreb, Croatia; and
  • 6 Hospital Universitari de Bellvitge-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00
Print or Print + Online

If the inline PDF is not rendering correctly, you can download the PDF file here.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00

Contributor Notes

Correspondence Júlia Miró: jmiro@bellvitgehospital.cat.

INCLUDE WHEN CITING Published online June 5, 2020; DOI: 10.3171/2020.4.JNS201006.

Disclosures The authors report no conflict of interest.

  • 1

    Greve T, Stoecklein VM, Dorn F, Introduction of intraoperative neuromonitoring does not necessarily improve overall long-term outcome in elective aneurysm clipping. J Neurosurg. 2020;132(4):11881196.

    • Search Google Scholar
    • Export Citation
  • 2

    Neuolh G, Schramm J. What the surgeon wins, and what the surgeon loses from intraoperative neurophysiologic monitoring? Acta Neurochir (Wien). 2005;147(8):811813.

    • Search Google Scholar
    • Export Citation
  • 3

    Staarmann B, O’Neal K, Magner M, Zuccarello M. Sensitivity and specificity of intraoperative neuromonitoring for identifying safety and duration of temporary aneurysm clipping based on vascular territory, a multimodal strategy. World Neurosurg. 2017;100:522530.

    • Search Google Scholar
    • Export Citation
  • 4

    Byoun HS, Oh CW, Kwon OK, Intraoperative neuromonitoring during microsurgical clipping for unruptured anterior choroidal artery aneurysm. Clin Neurol Neurosurg. 186:105503.

    • Search Google Scholar
    • Export Citation
  • 5

    Szelény A, Kothbauer K, De Camargo AB, Motor evoked potential monitoring during cerebral aneurysm surgery: technical aspects and comparison of transcranial and direct cortical stimulation. Neurosurgery. 2005;57(4 Suppl):331338.

    • Search Google Scholar
    • Export Citation
  • 6

    Szelény A, Langer D, Kothbauer K, Monitoring of muscle motor evoked potentials during cerebral aneurysm surgery: intraoperative changes and postoperative outcome. J Neurosurg. 2006;105(5):675681.

    • Search Google Scholar
    • Export Citation
  • 7

    Zhang H, Meng LZ, Lyon R, Wang DX. Monitoring cerebral ischemia during cerebrovascular surgery. J Biomed Res. 2017;31(4):279282.

  • 8

    Szelényi A, Bueno de Camargo A, Flamm E, Deletis V. Neurophysiological criteria for intraoperative prediciton of pure motor hemiplegia during aneurysm surgery. Case report. J Neurosurg. 2003;99(3):575578.

    • Search Google Scholar
    • Export Citation
  • 9

    Nunes RR, Bersot CDA, Garritano JG. Intraoperative neurophysiological monitoring in neuroanesthesia. Curr Opin Anaesthesiol. 2018;31(5):532538.

    • Search Google Scholar
    • Export Citation
  • 10

    Scheufler KM, Zentner J. Total intravenous anesthesia for intraoperative monitoring of the motor pathways: an integral view combining clinical and experimental data. J Neurosurg. 2002;96(3):571579.

    • Search Google Scholar
    • Export Citation
  • 1

    Schöller K, Licht S, Tonn JC, Uhl E. Randomized controlled trials in neurosurgery—how good are we? Acta Neurochirurgica. 2009;151(5):519527.

    • Search Google Scholar
    • Export Citation
  • 2

    Mansouri A, Cooper B, Shin SM, Kondziolka D. Randomized controlled trials and neurosurgery: the ideal fit or should alternative methodologies be considered? J Neurosurg. 2016;124(2):558568.

    • Search Google Scholar
    • Export Citation
  • 3

    Nuwer MR, Emerson RG, Galloway G, Evidence-based guideline update: intraoperative spinal monitoring with somatosensory and transcranial electrical motor evoked potentials: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology and the American Clinical Neurophysiology Society. Neurology. 2012;78(8):585589.

    • Search Google Scholar
    • Export Citation
  • 4

    Szelényi A, Kothbauer K, de Camargo AB, Motor evoked potential monitoring during cerebral aneurysm surgery: technical aspects and comparison of transcranial and direct cortical stimulation. Oper Neurosurg (Hagerstown). 2005;57(suppl_4):ONS-331ONS-338.

    • Search Google Scholar
    • Export Citation
  • 5

    Staarmann B, O’Neal K, Magner M, Zuccarello M. Sensitivity and specificity of intraoperative neuromonitoring for identifying safety and duration of temporary aneurysm clipping based on vascular territory, a multimodal strategy. World Neurosurg. 2017;100:522530.

    • Search Google Scholar
    • Export Citation
  • 6

    Szelényi A, Langer D, Beck J, Transcranial and direct cortical stimulation for motor evoked potential monitoring in intracerebral aneurysm surgery. Neurophysiol Clin. 2007;37(6):391398.

    • Search Google Scholar
    • Export Citation
  • 7

    Szelényi A, Langer D, Kothbauer K, Monitoring of muscle motor evoked potentials during cerebral aneurysm surgery: intraoperative changes and postoperative outcome. J Neurosurg. 2006;105(5):675681.

    • Search Google Scholar
    • Export Citation
  • 8

    Simera I, Altman DG, Moher D, Guidelines for reporting health research: the EQUATOR network’s survey of guideline authors. PLoS Med. 2008;5(6):e139.

    • Search Google Scholar
    • Export Citation
  • 9

    Neuloh G, Schramm J. Monitoring of motor evoked potentials compared with somatosensory evoked potentials and microvascular Doppler ultrasonography in cerebral aneurysm surgery. J Neurosurg. 2004;100(3):389399.

    • Search Google Scholar
    • Export Citation
  • 10

    Byoun HS, Oh CW, Kwon OK, Intraoperative neuromonitoring during microsurgical clipping for unruptured anterior choroidal artery aneurysm. Clin Neurol Neurosurg. 2019;186:105503.

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 124 124 124
Full Text Views 18 18 18
PDF Downloads 13 13 13
EPUB Downloads 0 0 0