Monitoring of motor and somatosensory systems in a 26-week pregnant woman.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20084411.
- Also identified by DOI 10.1007/s00701-009-0585-x.
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Abstract
We report the case of a 34-year-old woman who was 26 weeks pregnant and needed a brain surgery. We performed intraoperative neurophysiological monitoring (IONM) with motor-evoked potentials (MEP) elicited by transcranial electrical stimulation and somatosensory-evoked potentials (SSEP). Additionally, uterine myometric tone from the mother and fetal heart rate were also monitored. Forty-three MEP and 35 SSEP trains were applied (energy delivered, 2.35 and 0.45 J, respectively). No changes related to electrical stimulation in either uterine muscle tone or fetal heart rate were observed. No motor or new somatosensory deficits appeared. Our findings suggest that IONM can be safely applied in pregnant women.
Medical subject headings
- Electroencephalography
- Evoked Potentials
- Monitoring, Intraoperative
- Neurosurgical Procedures
- Pregnancy Complications