Skip to main content

Neurophysiological Monitoring of Cranial Nerves During Posterior Fossa Surgery

  • Conference paper
Advances in Stereotactic and Functional Neurosurgery 11

Part of the book series: Acta Neurochirurgica Supplementum ((STEREOTACTIC,volume 64))

Summary

Intraoperative neurophysiological monitoring of cranial nerve functions in surgery for microvascular decompression and tumors of the posterior fossa is important for minimizing risk of permanent damage to the nerves. In particular, intraoperative BAEP and the EMG function of muscle innervated by trigeminal and facial muscle have been found useful. We report here our experiences with intraoperative monitoring of brainstem auditory evoked potentials (BAEP) and EMG recorded from muscles supplied by the trigeminal and facial nerves.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Auger RG, Piepgras DG, Laws ER (1986) Hemifacial spasm: results of microvascular decompression in 5.4 patients. Mayo Clin Proc 61: 640–644

    Article  CAS  PubMed  Google Scholar 

  2. Daube J A, Harper CM (1989) Surgical monitoring of cranial and peripheral nerves. In: Desmedt J (ed) Neuromonitoring in surgery. Elsevier, Amsterdam, pp 115–138

    Google Scholar 

  3. Fischer C (1988) Brainstem auditory evoked potential (BAEP) monitoring in posterior fossa surgery. In: Desmedt J (ed) Neuro-monitoring in surgery. Elsevier, Amsterdam, pp 191–207

    Google Scholar 

  4. Friedman WA, Kaplan BJ, Gravenstein D, Rhoton AL (1985) Intraoperative brainstem auditory potentials during posterior fossa microvascular decompression. J Neurosurg 62: 552–557

    Article  CAS  PubMed  Google Scholar 

  5. Grundy BL, Jannetta P, Phyllis T, Procopio BA, Lina A, Boston R, Doyle E (1982) Intraoperative monitoring of brainstem audi-tory evoked potentials. J Neurosurg 57: 647–681

    Article  Google Scholar 

  6. Moller AR (1989) Intraoperative electrophysiological monitoring during microvascular decompression of cranial nerves V, VII and VIII. In: Desmedt J (ed) Neuromonitoring in surgery. Elsevier, Amsterdam, pp 209–218

    Google Scholar 

  7. Moller AR, Jannetta PJ (1983) Monitoring auditory functions during cranial nerve microvascular decompression operations by direct recording from the eight nerve. J Neurosurg 59: 493–499

    Article  CAS  PubMed  Google Scholar 

  8. Nuwer M (1986) Evoked potentials monitoring in the operating room. Raven, New York, pp 149–171

    Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  10. Radtke RA, Erwin CW (1988) Intraoperative monitoring of auditory and brainstem function. In: Gilmore R (ed) Evoked potentials. Neurologic clinics series, Vol 6. Saunders, Philadel-phia, pp 899–915

    Google Scholar 

  11. Radtke RA, Erwin CW, Wilkins RH (1980) Intraoperative BAEPs: significant decrease in postoperative auditory deficit. Neurology 39: 187–191

    Article  Google Scholar 

  12. Raudzens P, Shetter AG (1982) Intraoperative monitoring of brainstem auditory evoked potentials. J Neurosurg 57: 341–348

    Article  CAS  PubMed  Google Scholar 

  13. Sekiya T, Moller AR, Jannetta PJ (1986) Pathophysiological mechanisms of intraoperative and postoperative hearing deficits in cerebellar angle surgery. An experimental study. Acta Neur- ochir (Wien) 81: 142–151

    Google Scholar 

  14. Scaioli V, Brock S, Ciano C, Palazzini E, Broggi G (1994) The treatment of trigeminal neuralgia by microvascular decompression. Perioperative neurophysiological evaluation. Neurology 241 [Suppl 1]: S155

    Google Scholar 

  15. Scaioli V, Pluchino F, Giombini S, Cella G, Franceschetti S, Avanzini G (1992) Electrophysiological monitoring during acoustic neuroma surgery. Electroenceph Clin Neurophysiol 82: 60 P

    Article  Google Scholar 

  16. Soulier MJ, Lazorthes Y, Fraysse B, Vincent M (1985) The monitoring of the brainstem and the auditory function in neurosurgery. In: Pluchino F, Broggi G (eds) Advanced technology in neurosurgery. Springer, Berlin Heidelberg New York Tokyo, pp 85–100

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag

About this paper

Cite this paper

Broggi, G., Scaioli, V., Brock, S., Dones, I. (1995). Neurophysiological Monitoring of Cranial Nerves During Posterior Fossa Surgery. In: Meyerson, B.A., Ostertag, C. (eds) Advances in Stereotactic and Functional Neurosurgery 11. Acta Neurochirurgica Supplementum, vol 64. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9419-5_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-9419-5_8

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-9421-8

  • Online ISBN: 978-3-7091-9419-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics