J Korean Neurol Assoc.  2024 Nov;42(4):411-415. 10.17340/jkna.2024.0027.

Lately Obtained Baseline Waves in Motor Evoked Potential Monitoring during the Surgery of Frontal Lobe Tumor

Affiliations
  • 1Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 2Neuroscience Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 3Department of Neurology, Jeju National University College of Medicine, Jeju, Korea

Abstract

Intraoperative neurophysiologic monitoring during brain tumor surgery should acquire a baseline data as soon as possible. However, motor unit potentials (MEP) in our case showed baseline data could not be acquired in the early stage of surgery, but consecutive trials had abrupt appearance of MEP just after dura opening. This case shows the acquisition of baseline MEP during brain tumor surgery should not be given up until the dura is open especially in a state of raised intracranial pressure.

Keyword

Intraoperative neurophysiological monitoring; Brain neoplasms; Evoked potentials; motor
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