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Monitoring of motor and somatosensory systems in a 26-week pregnant woman

  • Case Report
  • Published:
Acta Neurochirurgica Aims and scope

Abstract

Introduction

We report the case of a 34-year-old woman who was 26 weeks pregnant and needed a brain surgery.

Methods

We performed intraoperative neurophysiological monitoring (IONM) with motor-evoked potentials (MEP) elicited by transcranial electrical stimulation and somatosensory-evoked potentials (SSEP). Additionally, uterine myometric tone from the mother and fetal heart rate were also monitored. Forty-three MEP and 35 SSEP trains were applied (energy delivered, 2.35 and 0.45 J, respectively).

Findings

No changes related to electrical stimulation in either uterine muscle tone or fetal heart rate were observed. No motor or new somatosensory deficits appeared.

Conclusion

Our findings suggest that IONM can be safely applied in pregnant women.

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Acknowledgment

This work was supported by a grant from the Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica (I+D+I), Instituto de Salud Carlos III, Subdirección General de Evaluación y Fomento de la Investigación PI060349.

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Authors and Affiliations

  1. Clinical Neurophysiology, Hospital Universitario La Princesa, C/Diego de León 62, 28006, Madrid, Spain

    Jesús Pastor

  2. Neurosurgery Hospital Universitario La Princesa, Madrid, Spain

    Paloma Pulido & Rafael G. Sola

  3. Anaesthesiology and Reanimation, Hospital Madrid-Montepríncipe, Boadilla, Madrid, Spain

    Andrés López

  4. Neurosurgery, Hospital Madrid-Montepríncipe, Boadilla, Madrid, Spain

    Paloma Pulido & Rafael G. Sola

  5. Faculty of Medicine, CEU-San Pablo, Madrid, Spain

    Jesús Pastor, Paloma Pulido & Rafael G. Sola

Authors
  1. Jesús Pastor
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  2. Paloma Pulido
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  3. Andrés López
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  4. Rafael G. Sola
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Corresponding author

Correspondence to Jesús Pastor.

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Pastor, J., Pulido, P., López, A. et al. Monitoring of motor and somatosensory systems in a 26-week pregnant woman. Acta Neurochir 152, 1231–1234 (2010). https://doi.org/10.1007/s00701-009-0585-x

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  • DOI: https://doi.org/10.1007/s00701-009-0585-x

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