Work

Report of seizure following intraoperative monitoring of transcranial motor evoked potentials.

Year: 2013

Type: article

Abstract: BACKGROUND: Transcranial motor evoked potentials are used to detect iatrogenic injury to the corticospinal tracts and vascular territory of the anterior spinal artery. Tongue and lip lacerations are the most common complication of this modality. Theoretical complications include cardiac arrhythmia and seizure although there are no published reports of either. CASE REPORT: We report a case of postoperative seizure following motor evoked potential testing in a patient without a seizure history. Although anecdotal reports exist, ours is the first known published report of seizure following transcranial electrical stimulation. CONCLUSION: The intent of this novel report is to encourage the use of anesthetic regimens that raise seizure threshold, decrease stimulation threshold, and increase the specificity of motor evoked potentials. Providers should be prepared to treat intraoperative or perioperative seizure activity when the monitoring protocol includes transcranial motor evoked potentials.

Source: Europe PMC (PubMed Central)

Authors: Scott F Davis, Thomas Altstadt, Rick Flores, Alan Kaye, Glenn Oremus

Institutions: Tulane University, Louisiana State University, Louisiana State University Health Sciences Center New Orleans

Language: English

Topic: Intraoperative Neuromonitoring and Anesthetic Effects

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W244875797

FWCI: 0.956

Cites: 15

Cited by: 16

Related to: 10