Open AccessIatrogenic seizures during intraoperative transcranial motor-evoked potential monitoring
Author(s) -
Suman Sokhal,
Keshav Goyal,
Navdeep Sokhal,
Niraj Kumar,
Shweta Kedia
Publication year - 2019
Publication title -
asian journal of neurosurgery
Language(s) - Uncategorized
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/ajns.ajns_96_18
Subject(s) - medicine , intraoperative neurophysiological monitoring , anesthesia , evoked potential , transcranial magnetic stimulation , epilepsy , surgery , stimulation , audiology , psychiatry
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.