Utility of Motor Evoked Potential in Identification and Treatment of Suboptimal Positioning in Pediatric Craniovertebral Junction Abnormalities: A Case Report. Issue 12 (October 2020)

• Record Type: Journal Article
• Authors: Krishnakumar, Mathangi; Ramesh, Venkatapura; Goyal, Amit; Srinivas, Dwarakanath
• Is Part Of: A & A practice. Volume 14:Issue 12(2020)
• Publication Date: 2020-10
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001323
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Atlantoaxial dislocation (AAD) poses a significant challenge in terms of positioning and surgical fixation as there is increased risk of cord compression and ischemia. Intraoperative neuromonitoring (IONM) provides a useful tool to identify impending position-related dysfunction. Here we demonstrate the utility of using transcranial motor evoked potential (Tc-MEP) to identify and treat suboptimal positioning in a 13-year-old patient with AAD and Arnold-Chiari malformation.