Effects of propofol on cortico-cortical evoked potentials in the dorsal language white matter pathway
Effects of propofol on cortico-cortical evoked potentials in the dorsal language white matter pathway
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异丙酚对背侧语言白质通路皮质-皮质诱发电位的影响
DOI：
10.1016/j.clinph.2021.04.021
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发表时间：
2021
影响因子：
4.7
通讯作者：
Miyamoto Susumu
中科院分区：
文献类型：
--
作者：
Yamao Yukihiro;Matsumoto Riki;Kunieda Takeharu;Nakae Takuro;Nishida Sei;Inano Rika;Shibata Sumiya;Kikuchi Takayuki;Arakawa Yoshiki;Yoshida Kazumichi;Ikeda Akio;Miyamoto Susumu
目的 为了评价全身麻醉下的临床实用性，本研究旨在阐明麻醉对皮质-皮质诱发电位（CCEP）的影响。方法分析了14例患者在异丙酚和瑞芬太尼全身麻醉和清醒状态下使用CCEP监测背侧语言通路完整性的数据，主要目的是阐明麻醉对皮质-皮质诱发电位分布和波形的影响。 CCEP 结果较大 CCEP 反应位点的分布（包括最大 CCEP 反应位点的位点）受麻醉的影响很小。关于波形的相似性，平均波形相关系数表现出很强的一致性。从全身麻醉到清醒，CCEP N1 振幅平均增加 25.8%，除了 3 名患者外。 CCEP N1 潜伏期在两种情况下的变化没有相关性。结论我们证明，较大 CCEP 反应的分布受麻醉影响很小，并且 CCEP N1 振幅从全身麻醉到清醒状态有增加的趋势。意义 即使在全身麻醉下，CCEP 方法也提供了背侧语言白质通路的术中监测的效率。
ObjectiveIn order to evaluate the clinical utility even under general anesthesia, the present study aimed to clarify the effect of anesthesia on the cortico–cortical evoked potentials (CCEPs).MethodsWe analyzed 14 patients’ data in monitoring the integrity of the dorsal language pathway by using CCEPs both under general anesthesia with propofol and remifentanil and awake condition, with the main aim of clarifying the effect of anesthesia on the distribution and waveform of CCEPs.ResultsThe distribution of larger CCEP response sites, including the locus of the maximum CCEP response site, was marginally affected by anesthesia. With regard to similarity of waveforms, the mean waveform correlation coefficient indicated a strong agreement. CCEP N1 amplitude increased by an average of 25.8% from general anesthesia to waking, except three patients. CCEP N1 latencies had no correlation in changes between the two conditions.ConclusionsWe demonstrated that the distribution of larger CCEP responses was marginally affected by anesthesia and that the CCEP N1 amplitude had tendency to increase from general anesthesia to the awake condition.SignificanceThe CCEP method provides the efficiency of intraoperative monitoring for dorsal language white matter pathway even under general anesthesia.
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超被动语言映射结合实时振荡分析与皮质-皮质诱发电位用于清醒开颅手术
DOI：
--
发表时间：
2015
期刊：
影响因子：
--
作者：
Kamada K,Tamura Y;Ogawa H;Anei R;Kamada K;Kamada K;鎌田恭輔;鎌田恭輔;鎌田恭輔;Kamada K;Kamada K;.鎌田恭輔;.鎌田恭輔;.鎌田恭輔;鎌田恭輔;Kamada K;Kamada K;鎌田恭輔;鎌田恭輔;鎌田恭輔;Kamada K;鎌田恭輔;鎌田恭輔;Kamada K
通讯作者：
Kamada K
影响因子：
14.5
作者：
Matsumoto, Riki;Nair, Dileep R.;Luders, Hans O.
通讯作者：
Luders, Hans O.
影响因子：
2
作者：
Rolland, Alice;Herbet, Guillaume;Duffau, Hugues
通讯作者：
Duffau, Hugues
影响因子：
9.8
作者：
Liu, EHC;Wong, HK;Lee, TL
通讯作者：
Lee, TL
影响因子：
9.8
作者：
Hewitt, PB;Chu, DLK;Binnie, CD
通讯作者：
Binnie, CD