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Indirect injury to cranial nerves after surgery with Cavitron ultrasonic surgical aspirator (CUSA). Case report

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Summary

The Cavitron ultrasonic surgical aspirator (CUSA) was used in a patient with an acoustic nerve tumour. After surgery she presented unilateral palsies of several cranial nerves. The nerve injuries were most likely induced by ultrasonic energy transmitted from the CUSA via the petrous bone. We suggest that when the CUSA is used in such operations care should be taken to avoid contact between the vibrating probe of the CUSA and the petrous bone.

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References

  1. Cohen SR, Young W, Flamm ES (1981) Intraspinal localisation of the somatosensory evoked potentials. Neurosurgery 9: No 2, 157–162

    PubMed  Google Scholar 

  2. Flamm ES, Ransohoff J, Wuchinich D, Broadwin A (1978) Preliminary experiance with ultrasonic aspiration in neurosurgery. Neurosurgery 2: 240–245

    PubMed  Google Scholar 

  3. Gudmundsson K, Rhoton AL Jr, Rushton JG (1971) Detailed anatomy of the intracranial portion of the trigeminal nerve. J Neurosurg 35: 592–600

    PubMed  Google Scholar 

  4. Moller AR, Jannetta PJ (1984) Preservation of facial function during removal of acoustic neuromas. Use of monopolar constant-voltage stimulation and EMG. J Neurosurg 61:4, 757–760

    PubMed  Google Scholar 

  5. Ojemann RG, Levine RA, Montgomery WM, McGaffigan P (1984) Use of intraoperative auditory evoked potentials to preserve hearing in unilateral acoustic neuroma removal. J Neurosurg 61: 5, 938–948

    PubMed  Google Scholar 

  6. Rhoton AL Jr (1976) Microsurgical removal of acoustic neurinomas. Surg Neurol 6: 211–219

    PubMed  Google Scholar 

  7. Ridderheim P-Å, von Essen C, Blom S, Zetterlund B (1985) Intracranially recorded potentials from the human trigeminal nerve. Electroenceph Clin Neurophysiol 61: 138–140

    PubMed  Google Scholar 

  8. Sugita K, Kobayashi S (1982) Technical and instrumental improvements in the surgical treatment of acoustic neurinomas. J Neurosurg 57: 747–752

    PubMed  Google Scholar 

  9. Yaşargil MG, Smith RD, Gasser JC (1977) Microsurgical approach to acoustic neurinomas. In: Krayenbühl H et al (eds) Advances and technical standards in neurosurgery, vol 4. Springer, Wien New York, pp 93–129

    Google Scholar 

  10. Young W, Cohen AR, Hunt CD, Ransohoff J (1981) Acute physiological effects of ultrasonic vibrations on nervous tissue. Neurosurgery 8: No 6, 689–694

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, University Hospital Umeå, Sweden

    P. -Å. Ridderheim & Cl. von Essen

  2. Department of Clinical Neurophysiology, University Hospital Umeå, Sweden

    B. Zetterlund

Authors
  1. P. -Å. Ridderheim
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  2. Cl. von Essen
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  3. B. Zetterlund
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Ridderheim, P.Å., von Essen, C. & Zetterlund, B. Indirect injury to cranial nerves after surgery with Cavitron ultrasonic surgical aspirator (CUSA). Case report. Acta neurochir 89, 84–86 (1987). https://doi.org/10.1007/BF01406673

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  • DOI: https://doi.org/10.1007/BF01406673

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