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68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
7. Joint Meeting mit der Britischen Gesellschaft für Neurochirurgie (SBNS)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

14. - 17. Mai 2017, Magdeburg

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Safety of concurrent use of intraoperative Monitoring with intraoperative magnetic resonance in children

Meeting Abstract

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  • Sandra Dias - UniversitätsSpital Zürich - Klinik für Neurochirurgie, Zürich, Switzerland
  • Johannes Sarnthein - Zürich, Switzerland
  • Marian Christoph Neidert - University Hospital Zurich, Department of Neurosurgery, Zürich, Switzerland
  • Oliver Bozinov - Klinik für Neurochirurgie, Universitätsspital Zürich, Zürich, Switzerland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocMO.07.01

doi: 10.3205/17dgnc036, urn:nbn:de:0183-17dgnc0362

Veröffentlicht: 9. Juni 2017

© 2017 Dias et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: High field intraoperative MRI (ioMRI) has becoming increasingly available in neurosurgery centers. There is little experience when combined with intraoperative neurophysiological neuromonitoring (IONM). We provide a first series of pediatric patients using both systems combined.

Methods: We included all consecutive pediatric cranial procedures operated with intraoperative neuromonitoring and ioMRI combined from October 2013 to April 2016 at our institution.

Results: During a period of 30 months we operated 17 children aged 26 months to 14 years (3 females) with the combined technical addition. A total of 483 needles remained placed during ioMRI. Of the needles, 119 were located on the scalp, 94 above the chest, and 270 below the chest. 2 complications, namely grade I skin burns were reported. In 1 case the MEP-stimulation had to be increased 20 mA and in 2 cases a reduction >50% on the SEP´s values were observed.

Conclusion: With the present study we have corroborated the history of relatively safe use for subcutaneous needle electrodes in ioMRI in children as well as the stability of the neuromonitoring records after MRI.