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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 109 - 114 (6page)
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초록· 키워드
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Superficial temporal artery-middle cerebral artery (STA-MCA) bypass is a surgical treatment for ischemic stroke caused by large artery occlusion. Intraoperative neuropsychological monitoring (IONM) is useful for ensuring cerebral perfusion. Herein, we report 5 cases of patients with ischemic stroke who underwent STA-MCA bypass with IONM. We investigated whether the improved cerebral perfusion was reflected in real time on the evoked potentials (EP) of IONM. To measure changes in cerebral perfusion, all patients underwent pre- and post-operative perfusion-weighted imaging (PWI). Additionally, functional assessments were performed before and after the surgery. We found that the motor evoked potential (MEP) amplitudes showed a consistent increase at the end of surgery. The somatosensory evoked potential (SSEP) latencies decreased consistently, but this change was not large. SSEP amplitudes showed no consistent change. Most of the PWI findings and functional assessments of our patients also improved after the surgery. After bypass surgery, MEP showed more reliable and consistent changes than SSEP.
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등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Ko SB / 2019 / 2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke / Neurointervention 14:71~81
Soufiany I / 2018 / Bypass surgery for ischemic stroke caused by intracranial artery stenosis or occlusion / Brain Science Advances 4:49~60
Dengler J / 2013 / Intraoperative neurophysiological monitoring of extracranial-intracranial bypass procedures / J Neurosurg 119:207~214
Li Z / 2013 / Perfusion-weighted magnetic resonance imaging used in assessing hemodynamics following superficial temporal artery-middle cerebral artery bypass in patients with Moyamoya disease / Cerebrovasc Dis 35:455~460
Deletis V / 2002 / Neurophysiology in neurosurgery : a modern intraoperative approach / Academic Press
Soufiany I / 2018 / Bypass surgery for ischemic stroke caused by intracranial artery stenosis or occlusion / Brain Science Advances 4:49~60
Dengler J / 2013 / Intraoperative neurophysiological monitoring of extracranial-intracranial bypass procedures / J Neurosurg 119:207~214
Li Z / 2013 / Perfusion-weighted magnetic resonance imaging used in assessing hemodynamics following superficial temporal artery-middle cerebral artery bypass in patients with Moyamoya disease / Cerebrovasc Dis 35:455~460
Deletis V / 2002 / Neurophysiology in neurosurgery : a modern intraoperative approach / Academic Press
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