资源类型:
期刊
收录情况:
◇ SCIE
◇ EI
文章类型:
论著
机构:
[a]Department of Neurosurgery, University Hospital, LMU Munich, Marchioninistr. 15, Munich, 81377, Germany
[b]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Tiantan Xili 6, Dongcheng District, Beijing, 100050, China
重点科室
诊疗科室
神经外科
首都医科大学附属天坛医院
ISSN:
1387-1307
关键词:
Cerebellopontine angle tumor
Intraoperative monitoring
Motor evoked potentials
Motor threshold
Somatosensory evoked potentials
Vestibular schwannoma
摘要:
In intraoperative neuromonitoring (IONM), facial nerve motor function (FaNMF) is assessed by facial muscle corticobulbar motor evoked potentials (FMcoMEP). Mostly only amplitude decrease is used as warning criterion. We related a refined criterion for FMcoMEP consisting of a bilateral final-to-baseline motor threshold ratio with standard criteria and postoperative FaNMF. 79 patients (45 females; 48 ± 16 years) undergoing IONM-guided cerebellopontine angle tumor surgery were retrospectively analyzed. An intraoperative final-to-baseline motor threshold increase ≥ 20% ipsi- versus contralaterally (bFBMT20) was correlated to postoperative FaNMF at day 1 (D1), 7 (D7) and 3 months (3 M). An ipsilateral-only final-to-baseline motor threshold increase ≥ 20 mA (iAMT20) and amplitude decrement ≥ 50% (iAR50) served as reference. Tumors included vestibular schwannomas (68%), meningiomas (19%) and others (13%). Mean tumor diameter was 2.7 ± 1.1 cm. Postoperatively, HB-increase ≥ 2 was seen in 27% (D1), 17% (D7), and 6% (3 M) of patients, respectively. FMcoMEP were obtained in 75/79 cases. Pathological bFBMT20, iAMT20 and iAR50 were seen in 17, 17, and 46 cases, respectively. Area under the ROC curve for bFBMT20 (iAMT20) was 0.894 (0.868) at D1; 0.903 (0.822) at D7 and 0.941 (0.959) at 3 M. iAR50 performed worse at all time points. Diagnostic odds ratios were highest for bfBMT20 compared to iAMT20 and iAR50 for D1 (172.5 vs. 8.7 vs. 0.45) and D7 (51.4 vs. 6.1 vs. 0.8). The refined parameter bFBMT20 provides a valuable contribution to the prognostic assessment of FaNMF. Due to its bihemispheric character, it might thus circumvent false-positive events which affect FMcoMEP bilaterally. © 2019, Springer Nature B.V.
中科院(CAS)分区:
出版当年[2018]版:
大类
|
4 区
医学
小类
|
4 区
麻醉学
最新[2023]版:
大类
|
3 区
医学
小类
|
4 区
麻醉学
JCR分区:
出版当年[2017]版:
Q3
ANESTHESIOLOGY
最新[2023]版:
Q2
ANESTHESIOLOGY
影响因子:
2
最新[2023版]
2
最新五年平均
2.45
出版当年[2017版]
2.236
出版当年五年平均
2.178
出版前一年[2016版]
2.179
出版后一年[2018版]
第一作者:
Greve, T
推荐引用方式(GB/T 7714):
Greve T,Wang L,Thon N,et al.Prognostic value of a bilateral motor threshold criterion for facial corticobulbar MEP monitoring during cerebellopontine angle tumor resection[J].JOURNAL OF CLINICAL MONITORING AND COMPUTING.2019,doi:10.1007/s10877-019-00434-5.
APA:
Greve, T,Wang, L,Thon, N,Schichor, C,Tonn, J.-C&Szelényi, A.(2019).Prognostic value of a bilateral motor threshold criterion for facial corticobulbar MEP monitoring during cerebellopontine angle tumor resection.JOURNAL OF CLINICAL MONITORING AND COMPUTING,,
MLA:
Greve, T,et al."Prognostic value of a bilateral motor threshold criterion for facial corticobulbar MEP monitoring during cerebellopontine angle tumor resection".JOURNAL OF CLINICAL MONITORING AND COMPUTING .(2019)