Recent Advances in Intraoperative Brainstem Auditory Evoked Potential Monitoring during Microvascular Decompression Surgery for Hemifacial Spasm

被引:3
|
作者
Park, Sang-Ku [1 ]
Lee, Hyun Seok [1 ]
Cho, Kyung Rae [1 ]
Park, Kwan [1 ,2 ]
机构
[1] Konkuk Univ, Med Ctr, Dept Neurosurg, Seoul 05030, South Korea
[2] Sungkyunkwan Univ, Sch Med, Dept Neurosurg, Seoul 03063, South Korea
来源
LIFE-BASEL | 2023年 / 13卷 / 09期
关键词
brainstem auditory evoked potentials; microvascular decompression; hemifacial spasm; vestibulocochlear nerve damage; HEARING-LOSS; RESPONSES; NERVE; SCALP; SIGN;
D O I
10.3390/life13091789
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Brainstem auditory evoked potential (BAEP) testing during microvascular decompression (MVD) is very important in the treatment of hemifacial spasm (HFS). The reason for this is that the vestibulocochlear nerve is located immediately next to the facial nerve, so the vestibulocochlear nerve may be affected by manipulation during surgery. BAEP testing for detecting vestibulocochlear nerve damage has been further developed for use during surgery. In most HFS patients with normal vestibulocochlear nerves, the degree of vestibulocochlear nerve damage caused by surgery is well-reflected in the BAEP test waveforms. Therefore, real-time testing is the best way to minimize damage to the vestibulocochlear nerve. The purpose of this study was to review the most recently published BAEP test waveforms that were obtained during MVD surgery to determine the relationship between vestibulocochlear nerve damage and BAEP waveforms.
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页数:11
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