Abstract:
:Under an operative view, an aneurysm of the vertebral artery is located behind the lower cranial nerves. To prevent neurological deficits we employed electrophysiological monitoring while clipping an aneurysm of the vertebral artery. A 64-year-old woman had suffered a sudden severe headache in the morning. Computed tomography (CT) revealed a subarachnoid hemorrhage (SAH) and CT angiography revealed an aneurysm at a branching point of the left vertebral artery. The condylar fossa approach was taken while recording electromyography (EMG) of the lower cranial nerves. The aneurysm was located just behind the hypoglossal nerve and could not be clipped without strong traction of the hypoglossal nerve. Therefore, the hypoglossal nerve was divided to separate the lower two bundles of the hypoglossal nerve from the other bundles, and the clip was applied to the aneurysm between the nerve bundles without any change of the tongue EMG. The patient went home 10 days after operation with no neurological deficit. In conclusion, we report a case of a ruptured aneurysm of a vertebral artery, which was clipped while monitoring the lower cranial nerves. Tongue EMG monitoring enabled us to clip the aneurysm without nerve injury and revealed that the hypoglossal nerve near the hypoglossal canal can be divided into several bands without neurological deficit.
journal_name
Clin Neurol Neurosurgjournal_title
Clinical neurology and neurosurgeryauthors
Ishikawa M,Kusaka G,Takashima K,Kamochi H,Shinoda Sdoi
10.1016/j.clineuro.2010.02.002subject
Has Abstractpub_date
2010-06-01 00:00:00pages
450-3issue
5eissn
0303-8467issn
1872-6968pii
S0303-8467(10)00034-Xjournal_volume
112pub_type
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journal_title:Clinical neurology and neurosurgery
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journal_title:Clinical neurology and neurosurgery
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journal_title:Clinical neurology and neurosurgery
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journal_title:Clinical neurology and neurosurgery
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更新日期:2009-12-01 00:00:00
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journal_title:Clinical neurology and neurosurgery
pub_type: 杂志文章
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更新日期:2008-02-01 00:00:00
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更新日期:1975-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1993-03-01 00:00:00
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更新日期:2020-02-01 00:00:00
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journal_title:Clinical neurology and neurosurgery
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更新日期:2011-12-01 00:00:00
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journal_title:Clinical neurology and neurosurgery
pub_type: 杂志文章
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journal_title:Clinical neurology and neurosurgery
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更新日期:2011-12-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2007-09-01 00:00:00
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journal_title:Clinical neurology and neurosurgery
pub_type: 杂志文章
doi:10.1016/j.clineuro.2005.11.014
更新日期:2006-03-01 00:00:00