scholarly journals Reliability of Intraoperative Visual Evoked Potential Monitoring during Neurosurgery

2016 ◽  
Vol 36 (2) ◽  
pp. 141-146
Author(s):  
Yuka AKASAKI ◽  
Hironobu HAYASHI ◽  
Tsunenori TAKATANI ◽  
Fumihiko NISHIMURA ◽  
Hiroyuki NAKASE ◽  
...  
Keyword(s):  
Visual Evoked Potential ◽  
Evoked Potential ◽  
Evoked Potential Monitoring ◽  
Visual Evoked ◽  
Potential Monitoring

Intraoperative Monitoring of the Visual Evoked Potential during Endoscopic Sinus Surgery

1994 ◽  
Vol 111 (5) ◽  
pp. 575-579 ◽  
Author(s):  
Garrett D. Herzon ◽  
David L. Zealear
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Visual Evoked Potential ◽  
Evoked Potential ◽  
Cold Water ◽  
Light Emitting Diode ◽  
Sinus Surgery ◽  
Visual Response ◽  
Evoked Potential Monitoring ◽  
Visual Evoked ◽  
Potential Monitoring

Iatrogenic blindness resulting from conventional and endoscopic sinus surgery continues to be a major concern to the head and neck surgeon. A new electrophysiologic monitoring technique has been developed that can help avoid damage to the optic nerve and visual system. The approach involves monitoring the visual evoked potential with presentation of flash stimuli to the eyes. Thirty patients with chronic sinusitis underwent endoscopic sinus surgery with visual evoked potential monitoring. The procedures were carried out with patients under intravenous general anesthesia. Needle cortical electrodes were placed in the scalp. A modified light-emitting diode array/goggle was positioned in front of the patient's closed eyes. A triggered flash of 2 Hz was delivered through the goggle to stimulate the patient's retina. Cortical responses were amplified and averaged for 100 trials. Amplitude and peak-latency changes were monitored to alert the surgeon to any change in the visual response during the surgical dissection. Although no changes in response were noted during dissection, cold-water irrigation and reflected telescopic light could produce variations in the recorded responses, as will be discussed. Visual evoked potential monitoring may prevent a surgeon from continuing a bilateral procedure when there is indication of iatrogenic visual loss from dissection on the first side. Visual evoked potential also reassures the operator that no damage has occurred to the visual pathway at the conclusion of a case. Methods, case selection, operative technique, and documentation of monitoring will be discussed.

Efficacy of the visual evoked potential monitoring in endoscopic transnasal transsphenoidal surgery as a real-time visual function

2018 ◽  
Vol 66 (4) ◽  
pp. 1075 ◽  
Author(s):  
Daisuke Wajima ◽  
Fumihiko Nishimura ◽  
Young-Soo Park ◽  
Yasushi Motoyama ◽  
Ichiro Nakagawa ◽  
...  
Keyword(s):  
Real Time ◽  
Visual Function ◽  
Transsphenoidal Surgery ◽  
Visual Evoked Potential ◽  
Evoked Potential ◽  
Evoked Potential Monitoring ◽  
Visual Evoked ◽  
Potential Monitoring

Extended endoscopic endonasal resection of craniopharyngioma using intraoperative visual evoked potential monitoring: technical note

2019 ◽  
Vol 161 (11) ◽  
pp. 2277-2284
Author(s):  
Takaaki Miyagishima ◽  
Masahiko Tosaka ◽  
Rei Yamaguchi ◽  
Tomohito Nagaki ◽  
Nobukazu Ishii ◽  
...  
Keyword(s):  
Visual Evoked Potential ◽  
Evoked Potential ◽  
Technical Note ◽  
Endoscopic Endonasal ◽  
Evoked Potential Monitoring ◽  
Visual Evoked ◽  
Potential Monitoring
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