Key result
Intraoperative neuromonitoring linked to fewer neurological complications, though SSEP shows ~33% sensitivity for motor dysfunction.
Why the study?
Does intraoperative neurophysiological monitoring prevent postoperative neurological complications in patients undergoing neurosurgery?
Population
240 patients undergoing neurosurgical operations between 2014 and 2015
Design
Cohort
Authors
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Intraoperative neuromonitoring may reduce neurological complications after neurosurgery; leaves open the need for randomized trials to confirm benefit and refine SSEP thresholds.
Cohort (n=240)
Does intraoperative neurophysiological monitoring prevent postoperative neurological complications in patients undergoing neurosurgery?
Intraoperative multimodal neuromonitoring, particularly stimulation mapping, is effective in preventing postoperative neurological complications during neurosurgery.
Vasyatkina et al. (2016) conducted a cohort in Hemispheric or brainstem lesions requiring neurosurgery (n=240). Intraoperative neurophysiological monitoring was evaluated on Detection of motor dysfunctions and prevention of postoperative neurological complications. Intraoperative neuromonitoring reduces postoperative neurological complications, with SSEP showing low sensitivity (33%) and high specificity (82%) for detecting motor dysfunctions.
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