Endovascular treatment of an infectious aneurysm using the selective provocative test and transcranial motor evoked potential monitoring under general anesthesia: a case report
Endovascular treatment of an infectious aneurysm using the selective provocative test and transcranial motor evoked potential monitoring under general anesthesia: a case report
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全身麻醉下使用选择性激发试验和经颅运动诱发电位监测对感染性动脉瘤进行血管内治疗：病例报告
DOI：
10.1007/s00701-021-05001-z
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Fujii Y.
中科院分区：
文献类型：
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作者：
Ando K;Hiraishi T;Oishi M;Hasegawa H;Kikuchi B;Natsumeda M;Suzuki T;Saito S;Ota T;Yoshida Y;Fujii Y.
局部麻醉下的选择性刺激试验（SPT）有助于预防血管内治疗过程中的缺血性并发症。然而，在全身麻醉下使用这个测试并没有很好的描述。在此，我们报告了一例51岁的男性，其大脑中动脉M4段的梭状动脉瘤破裂，该段被认为可能供应运动皮层。在全身麻醉下，经颅运动诱发电位（MEP）监测SPT后血管内介入成功捕获病变血管和动脉瘤。经颅MEP适用于全身麻醉下SPT期间的神经学评估。
The selective provocative test (SPT) under local anesthesia aids in protecting against ischemic complications during endovascular treatment. However, the use of this test under general anesthesia is not well described. Herein, we present a case of a 51-year-old man with a ruptured fusiform aneurysm in the middle cerebral artery M4 segment, which was thought to possibly supply the motor cortex. Internal trapping of the affected vessel and aneurysm by endovascular intervention was successfully performed after SPT using transcranial motor evoked potential (MEP) monitoring under general anesthesia. Transcranial MEP is suitable for neurological assessment during SPT under general anesthesia.