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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 967-969
DOI: 10.4103/ajns.AJNS_96_18
Case Report

Iatrogenic seizures during intraoperative transcranial motor-evoked potential monitoring

Suman Sokhal
Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All Institute of Medical Sciences, New Delhi
,
Keshav Goyal
Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All Institute of Medical Sciences, New Delhi
,
Navdeep Sokhal
Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All Institute of Medical Sciences, New Delhi
,
Niraj Kumar
Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All Institute of Medical Sciences, New Delhi
,
Shweta Kedia
1   Department of Neurosurgery, All Institute of Medical Sciences, New Delhi
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Intraoperative neurophysiological monitoring (IONM) is an important tool for early detection of inadvertent damage and guide intra-operative manipulation during complex neurosurgical procedures. However trans-cranial stimulation can evoke an iatrogenic seizure and it remains a real concern while using Tc-MEP. We report a case of intra-operative seizure during transcranial electrical stimulation for motor evoked potential monitoring in a patient without seizure disorder, who underwent surgery for thoracic intra-medullary tumor excision.

Key-words:

Intraoperative seizures - neurophysiological monitoring - neurosurgery - seizures - transcranial evoked potential

Financial support and sponsorship

Nil.




Publikationsverlauf

Artikel online veröffentlicht:
09. September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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