Ann Clin Neurophysiol.
2024 Oct;26(2):57-62. 10.14253/acn.24003.
Detection of critical intratumoral hemorrhage during spine surgery by intraoperative neurophysiologic monitoring: a case report
- Affiliations
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- 1Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- 2Neuroscience Center, Samsung Medical Center, Seoul, Korea
- 3Department of Neurology, Jeju National University School of Medicine, Jeju, Korea
- KMID: 2560433
- DOI: http://doi.org/10.14253/acn.24003
Abstract
- Complete surgical resection is a well-known therapeutic gold standard for spinal ependymoma, but it is associated with high postoperative morbidity. Intraoperative neuromonitoring (INM) is important for detecting and reducing the rate of surgical complications during this operative procedure. We report a case of postoperative paraplegia due to tumor bleeding during the operation. INM of the patient revealed abrupt loss of waveforms during the operation. This finding suggested that INM is helpful for detecting intraoperative hematomyelia and minimizing postoperative neurologic sequelae.
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