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Consideration of Ruptured Cerebral Aneurysms Clipping Surgery

  • Park, Sang-Ku (Department of Neurology, Samsung Medical Center) ;
  • Kim, Dong-Jun (Department of Neurology, Samsung Medical Center) ;
  • Han, Hung-Tae (Department of Neurology, Samsung Medical Center)
  • Received : 2015.02.27
  • Accepted : 2015.03.16
  • Published : 2015.03.30

Abstract

To measure motor evoked potentials (MEP) during emergency surgery is often difficult in patients with subarachnoid hemorrhage (SAH) from a ruptured cerebral aneurysm, The cause of these difficulties may be considered as damage to the motor pathway by hemorrhage. To identify the cause of difficulties in measuring MEP, we defined the association between motor evoked potentials during surgery and the severity of the hemorrhage in patients with subarachnoid hemorrhage.

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References

  1. Baxter AB, Cohen WA, Maravilla KR : Imaging of intracranial aneurysms and subarachnoid hemorrhage. Current management of cerebral aneurysms, Part 1 : Evaluation and perioperative care. Neurosurgery clinics of North America, edited by M. Mayberg, pp445-462. Saunders, Philadelphia, 1998.
  2. Connolly ES, Solomon RA : Management of sysmtomatic and asymptomatic unruptured aneurysms. Current management of cerebral aneurysms, Part 1 : Evaluation and perioperative care. Neurosurgery clinics of North America, edited by M. Mayberg, 509-524. Saunders, Philadelphia, 1998.
  3. Sang-Ku Park, Sung-Hyuk Lim, Chan-Woo Park, et al, Intra-operative Neurological Monitoring and Anesthesia. Korean J Clin Lab Sci. 2012, 44(4) : 184-198.
  4. Symon L : Surgical management of Middle cerebral artery aneurysms, in Schmidek HH, Sweet WH(eds) : Operative Neurosurgical Techniques, Indications, Methods, and Results 3rd ed. Vol. 1. W.B. Saunders, Co., Philadelphia, 1995.
  5. Tarr RW, Perl J II, Masaryk TJ : Neuroradiological aspects of aneurysms. Ratcheson RA. Wirth FP(eds). In Ruptured cerebral aneurysms : Perioperative management, Concepts in Neurosurgery. Vol. 6, pp182-203. Williams & Wilkins, 1994.
  6. Zabramski JM, Hamilton MG : Cerebral vasospasm. Caretr LP, Spetzler RF(eds) Neurovascular Surgery. McGraw-Hill, New York, 1995.