An Official publication of The Asian Congress of Neurological Surgeons (AsianCNS)

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Year : 2019  |  Volume : 14  |  Issue : 3  |  Page : 967-969

Iatrogenic seizures during intraoperative transcranial motor-evoked potential monitoring

1 Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All Institute of Medical Sciences, New Delhi, India
2 Department of Neurosurgery, All Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Keshav Goyal
Department of Neuroanaesthesiology and Critical Care, 710, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_96_18

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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.

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