{"title":"Plethysmography motion artifact can be an indicator of peripheral stimulus delivery during intraoperative somatosensory evoked potential recording","authors":"Karnati Sravani, D. Masapu, Balaji Vaithialingam","doi":"10.25259/jnrp_555_2023","DOIUrl":"https://doi.org/10.25259/jnrp_555_2023","url":null,"abstract":"","PeriodicalId":16443,"journal":{"name":"Journal of Neurosciences in Rural Practice","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140974900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aditi Vats, S. Naik, S. Bhoi, B. Mishra, Biswajit Sahoo, Manoj Kumar Nayak
{"title":"Pure arterial malformation: Reports of two rare cases","authors":"Aditi Vats, S. Naik, S. Bhoi, B. Mishra, Biswajit Sahoo, Manoj Kumar Nayak","doi":"10.25259/jnrp_55_2024","DOIUrl":"https://doi.org/10.25259/jnrp_55_2024","url":null,"abstract":"","PeriodicalId":16443,"journal":{"name":"Journal of Neurosciences in Rural Practice","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140972955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Gdynia, Anika Bauer, Natalie Schimpf, Doris M. Wagner
{"title":"Multilocular peripheral neuropathy with delayed symptom progression and neuropathic pain after lightning strike","authors":"H. Gdynia, Anika Bauer, Natalie Schimpf, Doris M. Wagner","doi":"10.25259/jnrp_92_2024","DOIUrl":"https://doi.org/10.25259/jnrp_92_2024","url":null,"abstract":"","PeriodicalId":16443,"journal":{"name":"Journal of Neurosciences in Rural Practice","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140996397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohit Agrawal, Varidh Katiyar, R. Sharma, Vikas Janu, Pankaj Totala, Ashutosh Jha, S. Bhaskar, Surajit Ghatak, D. K. Jha
Cranial immobilization is an essential first step in cranial surgeries. Complications related to head fixation frames are under-reported and given less importance during training. Authors report their experience of using verbal (Conventional) training and training by models of “head fixation frame” and “wooden head” for head frame application for cranial surgeries. Models of the “Head Fixation Frame” (Mayfield clamp) and “wooden human head” were made using metal (iron) and wood, respectively. Major craniometric landmarks and dural venous sinuses were marked on the head model. A total of 15 trainee residents of >18 months (Group A, n = 4), < 18 months (Group B, n = 5), and without neurosurgical training (Group C, n = 6) were assessed for head frame application on human cadaver heads after verbal (conventional) training (n = 8) and training on models (n = 7). Various parameters, such as time taken for pin application, selection of pin site, and quadrants, were evaluated for adequacy of pin placements and position of head. Both methods were compared for assessment of better training method. Model training for head frame fixation was found better with regard to all aspects out of which time for positioning the head and for pin application, selection of quadrants of the head, site for pin insertions, and need of intervention by faculty were significant. Training on models of “head fixation frame” and “head” is better than conventional training. It is simple and safe and will prevent pin-related complications.
{"title":"Assessment of verbal (conventional) training versus models training for head frame fixation in neurosurgery","authors":"Mohit Agrawal, Varidh Katiyar, R. Sharma, Vikas Janu, Pankaj Totala, Ashutosh Jha, S. Bhaskar, Surajit Ghatak, D. K. Jha","doi":"10.25259/jnrp_536_2023","DOIUrl":"https://doi.org/10.25259/jnrp_536_2023","url":null,"abstract":"Cranial immobilization is an essential first step in cranial surgeries. Complications related to head fixation frames are under-reported and given less importance during training. Authors report their experience of using verbal (Conventional) training and training by models of “head fixation frame” and “wooden head” for head frame application for cranial surgeries. Models of the “Head Fixation Frame” (Mayfield clamp) and “wooden human head” were made using metal (iron) and wood, respectively. Major craniometric landmarks and dural venous sinuses were marked on the head model. A total of 15 trainee residents of >18 months (Group A, n = 4), < 18 months (Group B, n = 5), and without neurosurgical training (Group C, n = 6) were assessed for head frame application on human cadaver heads after verbal (conventional) training (n = 8) and training on models (n = 7). Various parameters, such as time taken for pin application, selection of pin site, and quadrants, were evaluated for adequacy of pin placements and position of head. Both methods were compared for assessment of better training method. Model training for head frame fixation was found better with regard to all aspects out of which time for positioning the head and for pin application, selection of quadrants of the head, site for pin insertions, and need of intervention by faculty were significant. Training on models of “head fixation frame” and “head” is better than conventional training. It is simple and safe and will prevent pin-related complications.","PeriodicalId":16443,"journal":{"name":"Journal of Neurosciences in Rural Practice","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141001579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Report of ventriculoperitoneal shunt for lately detected open-lip schizencephaly","authors":"Ajaya Kumar Ayyappan Unnithan","doi":"10.25259/jnrp_622_2023","DOIUrl":"https://doi.org/10.25259/jnrp_622_2023","url":null,"abstract":"","PeriodicalId":16443,"journal":{"name":"Journal of Neurosciences in Rural Practice","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141017383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sangeeth Thuppanattumadam Ananthasubramanian, S. Nashi, A. Taallapalli, Haripriya Krishna Reddy, F. Arshad, P. Srijithesh, Girish Baburao Kulkarni, S. Alladi
Intracerebral hemorrhage (ICH) in the context of infective endocarditis (IE) is an uncommon and complex phenomenon involving diverse underlying mechanisms. We present a compelling case of a 48-year-old patient with recurrent ICH, ultimately leading to the diagnosis of IE with vegetation on the anterior leaflet of the mitral valve. The patient underwent a successful mitral valve replacement followed by a gradual improvement in neurological symptoms. This case report delves into the intricate diagnostic journey, highlighting the significance of suspecting IE in patients presenting with ICH. A multidisciplinary and comprehensive management approach played a pivotal role in achieving positive outcomes.
感染性心内膜炎（IE）引起的脑内出血（ICH）是一种不常见的复杂现象，其潜在机制多种多样。我们介绍了一例令人信服的病例，患者 48 岁，反复发生 ICH，最终被诊断为二尖瓣前叶植被感染 IE。患者成功接受了二尖瓣置换术，随后神经症状逐渐改善。本病例报告深入探讨了复杂的诊断过程，强调了在出现 ICH 的患者中怀疑 IE 的重要性。多学科综合管理方法在取得积极疗效方面发挥了关键作用。
{"title":"Unveiling the mystery: Infective endocarditis as an etiological cause of recurrent intracranial hemorrhage","authors":"Sangeeth Thuppanattumadam Ananthasubramanian, S. Nashi, A. Taallapalli, Haripriya Krishna Reddy, F. Arshad, P. Srijithesh, Girish Baburao Kulkarni, S. Alladi","doi":"10.25259/jnrp_35_2024","DOIUrl":"https://doi.org/10.25259/jnrp_35_2024","url":null,"abstract":"Intracerebral hemorrhage (ICH) in the context of infective endocarditis (IE) is an uncommon and complex phenomenon involving diverse underlying mechanisms. We present a compelling case of a 48-year-old patient with recurrent ICH, ultimately leading to the diagnosis of IE with vegetation on the anterior leaflet of the mitral valve. The patient underwent a successful mitral valve replacement followed by a gradual improvement in neurological symptoms. This case report delves into the intricate diagnostic journey, highlighting the significance of suspecting IE in patients presenting with ICH. A multidisciplinary and comprehensive management approach played a pivotal role in achieving positive outcomes.","PeriodicalId":16443,"journal":{"name":"Journal of Neurosciences in Rural Practice","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140656835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Selcen Duran, Burcu Alparslan, Mustafa Bakar, B. Hakyemez
Carotid artery stenting (CAS) and carotid endarterectomy are established treatments for carotid artery stenosis. We evaluated the early and mid- to late-term clinical and radiological outcomes of patients who underwent CAS. This retrospective study included 98 patients (112 arteries), who underwent CAS. Baseline demographics, stent types, embolic protection devices, and procedural complication rates within 30-day and 3-year post-CAS, including transient ischemic attack (TIA), stroke, death, and stent restenosis, were analyzed. The 30-day complication rates included TIA (5.1%), ipsilateral stroke (4.1%), and death (4.1%). At three-year follow-up, TIA (8.5%), ipsilateral stroke (2.1%), restenosis (1.1%), and death (6.4%) were observed. Contralateral carotid artery angiography revealed neointimal hyperplasia in two vessels (1.9%) and 70–99% restenosis 1 (1%). Notably, a significant association was observed between neointimal hyperplasia and stent geometry, with a higher incidence observed in open-cell stents compared to closed-cell stents (P = 0.03). Our study demonstrated comparable early-term and lower mid- to late-term complication rates compared to prior studies. A multidisciplinary approach with meticulous technique, appropriate materials, and careful patient selection can optimize CAS outcomes.
颈动脉支架植入术（CAS）和颈动脉内膜剥脱术是治疗颈动脉狭窄的成熟疗法。我们评估了接受CAS治疗的患者的早期和中晚期临床及放射学结果。研究分析了基线人口统计学、支架类型、栓塞保护装置以及CAS术后30天和3年内的并发症发生率，包括短暂性脑缺血发作（TIA）、中风、死亡和支架再狭窄。随访三年发现的并发症包括TIA（8.5%）、同侧中风（2.1%）、再狭窄（1.1%）和死亡（6.4%）。对侧颈动脉血管造影显示，有两条血管（1.9%）出现新血管增生，1条血管出现70%-99%的再狭窄（1%）。值得注意的是，新内膜增生与支架几何形状之间存在明显关联，与闭孔支架相比，开孔支架的发生率更高（P = 0.03）。与之前的研究相比，我们的研究显示了相似的早期并发症发生率和较低的中晚期并发症发生率。我们的研究表明，与之前的研究相比，早期并发症发生率相当，中晚期并发症发生率较低。采用多学科方法，配合细致的技术、合适的材料和谨慎的患者选择，可以优化 CAS 的治疗效果。
{"title":"Clinical and radiological outcomes of extracranial carotid artery stent placement: A single-center study","authors":"Selcen Duran, Burcu Alparslan, Mustafa Bakar, B. Hakyemez","doi":"10.25259/jnrp_537_2023","DOIUrl":"https://doi.org/10.25259/jnrp_537_2023","url":null,"abstract":"\u0000\u0000Carotid artery stenting (CAS) and carotid endarterectomy are established treatments for carotid artery stenosis. We evaluated the early and mid- to late-term clinical and radiological outcomes of patients who underwent CAS.\u0000\u0000\u0000\u0000This retrospective study included 98 patients (112 arteries), who underwent CAS. Baseline demographics, stent types, embolic protection devices, and procedural complication rates within 30-day and 3-year post-CAS, including transient ischemic attack (TIA), stroke, death, and stent restenosis, were analyzed.\u0000\u0000\u0000\u0000The 30-day complication rates included TIA (5.1%), ipsilateral stroke (4.1%), and death (4.1%). At three-year follow-up, TIA (8.5%), ipsilateral stroke (2.1%), restenosis (1.1%), and death (6.4%) were observed. Contralateral carotid artery angiography revealed neointimal hyperplasia in two vessels (1.9%) and 70–99% restenosis 1 (1%). Notably, a significant association was observed between neointimal hyperplasia and stent geometry, with a higher incidence observed in open-cell stents compared to closed-cell stents (P = 0.03).\u0000\u0000\u0000\u0000Our study demonstrated comparable early-term and lower mid- to late-term complication rates compared to prior studies. A multidisciplinary approach with meticulous technique, appropriate materials, and careful patient selection can optimize CAS outcomes.\u0000","PeriodicalId":16443,"journal":{"name":"Journal of Neurosciences in Rural Practice","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarvesh Goyal, Abhinav Jain, R. Doddamani, Deepti Siddharthan, Manmohan Singh, Poodipedi S. Chandra
Subarachnoid hemorrhage (SAH) constitutes a common neurosurgical emergency. Non-contrast computerized tomography (NCCT) head has very high specificity and sensitivity in detecting SAH. However, in certain conditions, the computed tomography (CT) may be falsely positive, termed as pseudo-SAH. We hereby report a rare case of pseudo-SAH in a patient with tetralogy of Fallot and discuss the possible etiopathogenesis and the pertinent literature. We present here a case of a 15-year-old male patient, who was diagnosed with tetralogy of Fallot (TOF) physiology. He presented to the cardiology outpatient clinic with complaints of dyspnea on exertion, headache, and drowsiness. The NCCT head revealed diffuse hyperdensity in the basal cisterns and sulcal spaces, which were suggestive of diffuse SAH. However, in the setting of negative CT and magnetic resonance angiography along with high hematocrit levels (84%), diagnosis of pseudo-SAH was considered. The patient was appropriately managed with beta-blockers, intravenous fluids, and serial phlebotomies. The patient underwent a palliative shunt connecting the ascending aorta to the main pulmonary artery (central shunt), following which his saturation improved, and hematocrit decreased (40%) leading to significant symptomatic improvement. Knowledge of pseudo-SAH signs is essential for the treating physician and plays an important part in the management of this patient population.
{"title":"Pseudosubarachnoid hemorrhage sign in a patient with tetralogy of Fallot","authors":"Sarvesh Goyal, Abhinav Jain, R. Doddamani, Deepti Siddharthan, Manmohan Singh, Poodipedi S. Chandra","doi":"10.25259/jnrp_643_2023","DOIUrl":"https://doi.org/10.25259/jnrp_643_2023","url":null,"abstract":"Subarachnoid hemorrhage (SAH) constitutes a common neurosurgical emergency. Non-contrast computerized tomography (NCCT) head has very high specificity and sensitivity in detecting SAH. However, in certain conditions, the computed tomography (CT) may be falsely positive, termed as pseudo-SAH. We hereby report a rare case of pseudo-SAH in a patient with tetralogy of Fallot and discuss the possible etiopathogenesis and the pertinent literature. We present here a case of a 15-year-old male patient, who was diagnosed with tetralogy of Fallot (TOF) physiology. He presented to the cardiology outpatient clinic with complaints of dyspnea on exertion, headache, and drowsiness. The NCCT head revealed diffuse hyperdensity in the basal cisterns and sulcal spaces, which were suggestive of diffuse SAH. However, in the setting of negative CT and magnetic resonance angiography along with high hematocrit levels (84%), diagnosis of pseudo-SAH was considered. The patient was appropriately managed with beta-blockers, intravenous fluids, and serial phlebotomies. The patient underwent a palliative shunt connecting the ascending aorta to the main pulmonary artery (central shunt), following which his saturation improved, and hematocrit decreased (40%) leading to significant symptomatic improvement. Knowledge of pseudo-SAH signs is essential for the treating physician and plays an important part in the management of this patient population.","PeriodicalId":16443,"journal":{"name":"Journal of Neurosciences in Rural Practice","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140654287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Traumatic brain injury (TBI) disrupts the developing brain in the pediatric population. This study aims to look at the outcomes of moderate and severe TBI over a five-year follow-up to look for the long-term sequelae of head injury in the pediatric population. A prospective observational study was conducted after obtaining the permission of the Institutional Ethics Committee with the primary study participants admitted between 2015 and 2017 with follow-up extending up to 2022 in 118 pediatric patients, aged between 1 and 15 years who required admission in the pediatric intensive care unit with moderate and severe TBI. Language impairment was noted in 33.63% (n = 37) patients during early follow-up, and 12 of them continued to have impaired language skills and communication at the end of five years. With regard to school functioning, children had more difficulty in the arithmetic domain (n = 33) compared to language domains (n = 17). While the parents noted improvements in scholastic performances, some degree of difficulty in learning was noted in most of the children, who sustained TBI. Despite these difficulties, 27 out of 41 participants, who gave their higher secondary examinations have gone on to pursue undergraduate courses in colleges. Our study indicates that over the passage of time, children tend to have a reasonable chance at recovery, and with the potential for plasticity, early and aggressive rehabilitative services may enable the child to have a decent quality of life and in selected cases, even an independent life.
{"title":"Long-term outcome of pediatric head injuries – A five-year follow-up","authors":"Pinnaka Subba Rao, Sai Sriram Swamiyappan, Sree Apoorva Puttagunta, Ramachandran Padmanabhan, Vivek Visveswaran","doi":"10.25259/jnrp_40_2024","DOIUrl":"https://doi.org/10.25259/jnrp_40_2024","url":null,"abstract":"\u0000\u0000Traumatic brain injury (TBI) disrupts the developing brain in the pediatric population. This study aims to look at the outcomes of moderate and severe TBI over a five-year follow-up to look for the long-term sequelae of head injury in the pediatric population.\u0000\u0000\u0000\u0000A prospective observational study was conducted after obtaining the permission of the Institutional Ethics Committee with the primary study participants admitted between 2015 and 2017 with follow-up extending up to 2022 in 118 pediatric patients, aged between 1 and 15 years who required admission in the pediatric intensive care unit with moderate and severe TBI.\u0000\u0000\u0000\u0000Language impairment was noted in 33.63% (n = 37) patients during early follow-up, and 12 of them continued to have impaired language skills and communication at the end of five years. With regard to school functioning, children had more difficulty in the arithmetic domain (n = 33) compared to language domains (n = 17). While the parents noted improvements in scholastic performances, some degree of difficulty in learning was noted in most of the children, who sustained TBI. Despite these difficulties, 27 out of 41 participants, who gave their higher secondary examinations have gone on to pursue undergraduate courses in colleges.\u0000\u0000\u0000\u0000Our study indicates that over the passage of time, children tend to have a reasonable chance at recovery, and with the potential for plasticity, early and aggressive rehabilitative services may enable the child to have a decent quality of life and in selected cases, even an independent life.\u0000","PeriodicalId":16443,"journal":{"name":"Journal of Neurosciences in Rural Practice","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140666114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Priyanka Sharma, S. Malla, Rajeeb K. Mishra, Rohini M. Surve, H. Pendharkar, Pramod Kalgudi
There is a dearth of clearly defined thresholds to guide the application of neuromonitoring modalities in temporary vessel occlusion techniques. We report a case series exploring the utility of various neuromonitoring techniques during temporary vessel occlusion procedures. We conducted a retrospective chart review of patients, who underwent temporary vessel occlusion procedures over a two-year period and examined the neuromonitors employed in temporary vessel occlusion procedures including balloon occlusion test (BOT). We found complete details of nine patients, who were managed with the use of the following neuromonitors: cerebral oximetry, electrical activity monitors, evoked potential monitors, and transcranial Doppler. A literature search identified other studies reporting utilization of adjuvant neuromonitoring in these procedures. Although multiple sensors could be concurrently attached to patients without impeding image acquisition in patients undergoing BOT, our review of the literature and our own findings revealed a lack of consistent correlation with outcome, particularly concerning near-infrared spectroscopy values.
{"title":"Navigating a grey zone: Neuromonitoring in the management of temporary internal carotid artery occlusion techniques - A case series and literature review","authors":"Priyanka Sharma, S. Malla, Rajeeb K. Mishra, Rohini M. Surve, H. Pendharkar, Pramod Kalgudi","doi":"10.25259/jnrp_36_2024","DOIUrl":"https://doi.org/10.25259/jnrp_36_2024","url":null,"abstract":"There is a dearth of clearly defined thresholds to guide the application of neuromonitoring modalities in temporary vessel occlusion techniques. We report a case series exploring the utility of various neuromonitoring techniques during temporary vessel occlusion procedures. We conducted a retrospective chart review of patients, who underwent temporary vessel occlusion procedures over a two-year period and examined the neuromonitors employed in temporary vessel occlusion procedures including balloon occlusion test (BOT). We found complete details of nine patients, who were managed with the use of the following neuromonitors: cerebral oximetry, electrical activity monitors, evoked potential monitors, and transcranial Doppler. A literature search identified other studies reporting utilization of adjuvant neuromonitoring in these procedures. Although multiple sensors could be concurrently attached to patients without impeding image acquisition in patients undergoing BOT, our review of the literature and our own findings revealed a lack of consistent correlation with outcome, particularly concerning near-infrared spectroscopy values.","PeriodicalId":16443,"journal":{"name":"Journal of Neurosciences in Rural Practice","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140668699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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