De la Maza-Krzeptowsky LC, Romero-Esquiliano G, Ramírez-Segura EH, De Obieta-Cruz E, Vega-Sosa A, Cárdenas-Mejía A, San Juan-Orta D, Castillo-Herrera M, Aguilar-Castillo SJ, Ávila-Ordóñez MU, Cordero-Guzmán LM, Escobar-Cedillo RE, Fraire-Martínez MI, Franco-Lira MO, González-Jaime JJ, Paz-Navarro, Claudia E; Ramos-Peek JN, Shkurovich-BialikP, Silva-Cerecedo P, Tello-Valdés CA, Zavala-Reina ÁA, López-Rodríguez J, Sosa-García O

Language: Spanish
References: 26
Page: 132-139
PDF size: 207.57 Kb.

ABSTRACT

Introduction: Intraoperative neurophysiological monitoring (IONM) is a procedure that uses neurophysiological techniques in order to evaluate the motor and sensitive systems during surgeries that endanger the nervous system. Method: The approach,scope, target population, and clinical questions to be answered were defined. A systematic search of the evidence was conducted step by step; during the first stage, clinical practice guidelines were collected, during the second stage systematic reviews were obtained, and during the third stage, clinical trials and observational studies were procured. The MeSH nomenclature and free related terminology were used, with no language restrictions and a 5-10 years frame. The quality of the evidence was graded using the CEPD and SIGN scales. Results: Obtained using the search algorrhythms of 892 documents. Fifty-eight were chosen to be included in the qualitative synthesis. A meta-analysis was not possible due to the heterogeneity of the studies. Conclusions: Eighteen recommendations were issued and will support the adequate use of the IONM.

REFERENCES

1. Skinner SA, Cohen BA, Morledge DE, McAuliffe JJ, Hastings JD, Yingling CD, et al. Practice guidelines for the supervising professional: intraoperative neurophysiological monitoring. J Clin Monit Comput. 2014;28:103-111.

2. Malhotra NR, Shaffrey CI. Intraoperative electrophysiological monitoring in spine surgery. Spine (Phila Pa 1976). 2010;35:2167-79.

3. Ney JP, van der Goes DN. Evidence-based guideline update: intraoperative spinal monitoring with somatosensory and transcranial electrical motor evoked potentials. Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology and the American Clinical Neurophysiology Society. Neurology. 2012;79:292.

4. Makarov MR, Samchukov ML, Birch JG, Cherkashin AM, Sparagana SP, Delgado MR. Somatosensory evoked potential monitoring of peripheral nerves during external fixation for limb lengthening and correction of deformity in children. J Bone Joint Surg Br. 2012;94:1421-6.

5. Sekula RF Jr, Bhatia S, Frederickson AM, Jannetta PJ, Quigley MR, Small GA, et al. Utility of intraoperative electromyography in microvascular decompression for hemifacial spasm: a meta-analysis. Neurosurg Focus. 2009;27:E10.

6. Simon MV, Cole AJ, Chang EC, Buchbinder BR, Stufflebeam SM, Nozari A, et al. An intraoperative multimodal neurophysiologic approach to successful resection of precentral gyrus epileptogenic lesions. Epilepsia. 2012;53:75-9.

7. Nuwer MR, Emerson RG, Galloway G, Legatt AD, Lopez J, Minahan R, et al.; American Association of Neuromuscular and Electrodiagnostic Medicine. Evidence-based guideline update: intraoperative spinal monitoring with somatosensory and transcranial electrical motor evoked potentials. J Clin Neurophysiol. 2012;29:101-8.

8. Sutter M, Hersche O, Leunig M, Guggi T, Dvorak J, Eggspuehler A. Use of multimodal intra-operative monitoring in averting nerve injury during complex hip surgery. J Bone Joint Surg Br. 2012;94:179-84.

9. Ney JP, van der Goes DN, Watanabe JH. Cost-effectiveness of intraoperative neurophysiological monitoring for spinal surgeries: beginning steps. Clin Neurophysiol. 2012;123:1705-7.

10. Liu EH, Wong HK, Chia CP, Lim HJ, Chen ZY, Lee TL. Effects of isoflurane and propofol on cortical somatosensory evoked potentials during comparable depth of anaesthesia as guided by bispectral index. Br J Anaesth. 2005;94:193-7.

11. Korvenoja A, Kirveskari E, Aronen HJ, Avikainen S, Brander A, Huttunen J, et al. Sensorimotor cortex localization: comparison of magnetoencephalography, functional MR imaging, and intraoperative cortical mapping. Radiology. 2006;241:213-22.

12. Morales Chacón L, Estupiñán B, Lorigados Pedre L, Trápaga Quincoses O, García Maeso I, Sánchez A, et al. Microscopic mild focal cortical dysplasia in temporal lobe dual pathology: an electrocorticography study. Seizure. 2009;18:593-600.

13. Tripathi M, Garg A, Gaikwad S, Bal CS, Chitra S, Prasad K, et al. Intra- operative electrocorticography in lesional epilepsy. Epilepsy Res. 2010;89:133-41.

14. Van Gompel JJ, Rubio J, Cascino GD, Worrell GA, Meyer FB. Electrocorticography- guided resection of temporal cavernoma: is electrocorticography warranted and does it alter the surgical approach? J Neurosurg. 2009;110:1179-85.

15. Liu H, Di Giorgio AM, Williams ES, Evans W, Russell MJ. Protocol for electrophysiological monitoring of carotid endarterectomies. J Biomed Res. 2010;24:460-6.

16. Fukuda M, Oishi M, Hiraishi T, Fujii Y. Facial nerve motor-evoked potential monitoring during microvascular decompression for hemifacial spasm. J Neurol Neurosurg Psychiatry. 2010;81:519-23.

17. Matthies C, Raslan F, Schweitzer T, Hagen R, Roosen K, Reiners K. Facial motor evoked potentials in cerebellopontine angle surgery: technique, pitfalls and predictive value. Clin Neurol Neurosurg. 2011;113:872-9.

18. Fukuda M, Oishi M, Hiraishi T, Saito A, Fujii Y. Intraoperative facial nerve motor evoked potential monitoring during skull base surgery predicts long-term facial nerve function outcomes. Neurol Res. 2011;33:578-82.

19. Sughrue ME, Kaur R, Kane AJ, Rutkowski MJ, Kaur G, Yang I, et al. The value of intraoperative facial nerve electromyography in predicting facial nerve function after vestibular schwannoma surgery. J Clin Neurosci. 2010;17:849-52.

20. Amano M, Kohno M, Nagata O, Taniguchi M, Sora S, Sato H. Intraoperative continuous monitoring of evoked facial nerve electromyograms in acoustic neuroma surgery. Acta Neurochir (Wien). 2011;153:1059-67.

21. Eisele DW, Wang SJ, Orloff LA. Electrophysiologic facial nerve monitoring during parotidectomy. Head Neck. 2010;32:399-405.

22. Topsakal C, Al-Mefty O, Bulsara KR, Williford VS. Intraoperative monitoring of lower cranial nerves in skull base surgery: technical report and review of 123 monitored cases. Neurosurg Rev. 2008;31:45-53.

23. Thirumala PD, Kassasm AB, Habeych M, Wichman K, Chang YF, Gardner P, et al. Somatosensory evoked potential monitoring during endoscopic endonasal approach to skull base surgery: analysis of observed changes. Neurosurgery. 2011;69(1S):64-76.

24. Pring ME, Trousdale RT, Cabanela ME, Harper CM. Intraoperative electromyographic monitoring during periacetabular osteotomy. Clin Orthop Relat Res. 2002;(400):158-64.

25. Nagda SH, Rogers KJ, Sestokas AK, Getz CL, Ramsey ML, Glaser DL, et al. Neer Award 2005: Peripheral nerve function during shoulder arthroplasty using intraoperative nerve monitoring. J Shoulder Elbow Surg. 2007;16(3S):S2-8.

26. Robert EG, Happel LT, Kline DG. Intraoperative nerve action potential recordings: technical considerations, problems, and pitfalls. Neurosurgery. 2009;65(4S):A97-104.