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Prediction of postoperative motor deficits using motor evoked potential deterioration duration in intracranial aneurysm surgery

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资源类型：

收录情况： ◇ SCIE

作者：
Li, Zhibao[a,b] * ; Fan, Xing[a,b] * ; Wang, Mingran[a,b] ; Tao, Xiaorong[a,b] ; Qi, Lei[a,b] ; Ling, Miao[a,b] ; Guo, Dongze[a,b] ; Qiao, Hui[a,b,*1] ;
机构： [a]Department of Neurophysiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China [b]Beijing Tiantan Hospital, Capital Medical University, Beijing, China
出处：
DOI： 10.1016/j.clinph.2019.02.010
ISSN：

关键词： Intracranial aneurysm Intraoperative monitoring Motor evoked potential (MEP) MEP deterioration duration Postoperative motor deficit

摘要：
Objective: The study aimed to investigate the predictive value of motor evoked potential (MEP) deterioration duration for postoperative motor deficits in patients undergoing intracranial aneurysm surgery. Methods: Data from 587 patients were reviewed and 92 patients with MEP deterioration were enrolled. MEP deterioration duration was compared between patients with and without postoperative motor deficits. Receiver operating characteristic (ROC) curve analysis was performed to define the threshold value for predicting postoperative motor deficit risk. Additionally, the association between MEP deterioration duration and postoperative CT findings was explored. Results: Patients with postoperative motor deficits had a significantly longer MEP deterioration duration (p < 0.01). An MEP deterioration duration greater than or equal to 13 min was identified as an independent predictor of immediate (p < 0.01), short-term (p < 0.01), and long-term postoperative motor deficits (p < 0.05). There was no significant association between MEP deterioration duration and new CT abnormalities. Conclusion: MEP deterioration duration could be used for predicting intracranial aneurysm surgical outcome. Significance: The study first proposed a threshold value of MEP deterioration duration (13 min) for predicting the risk of postoperative motor deficits in patients undergoing intracranial aneurysm surgery. (C) 2019 Published by Elsevier B.V. on behalf of International Federation of Clinical Neurophysiology.

基金：
Capital Foundation of Medical Developments, CFMD [2018-2-1075]
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2018]版：
大类 | 2 区 医学
小类 | 2 区 临床神经病学 3 区 神经科学
最新[2023]版：
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 神经科学
JCR分区：
出版当年[2017]版：
Q2 CLINICAL NEUROLOGY Q2 NEUROSCIENCES
最新[2023]版：
Q1 CLINICAL NEUROLOGY Q2 NEUROSCIENCES

影响因子： 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者：
第一作者机构： [a]Department of Neurophysiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China [b]Beijing Tiantan Hospital, Capital Medical University, Beijing, China
共同第一作者：
通讯作者：
通讯机构： [a]Department of Neurophysiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China [b]Beijing Tiantan Hospital, Capital Medical University, Beijing, China [*1]Beijing Neurosurgical Institute, Capital Medical University, 119 Fanyang Road, Beijing 100070, China.
推荐引用方式(GB/T 7714)：
Li Zhibao,Fan Xing,Wang Mingran,et al.Prediction of postoperative motor deficits using motor evoked potential deterioration duration in intracranial aneurysm surgery[J].CLINICAL NEUROPHYSIOLOGY.2019,130(5):707-713.doi:10.1016/j.clinph.2019.02.010.
APA：
Li, Zhibao,Fan, Xing,Wang, Mingran,Tao, Xiaorong,Qi, Lei...&Qiao, Hui.(2019).Prediction of postoperative motor deficits using motor evoked potential deterioration duration in intracranial aneurysm surgery.CLINICAL NEUROPHYSIOLOGY,130,(5)
MLA：
Li, Zhibao,et al."Prediction of postoperative motor deficits using motor evoked potential deterioration duration in intracranial aneurysm surgery".CLINICAL NEUROPHYSIOLOGY 130..5(2019):707-713

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