Direct electrical stimulation of the optic radiation in patients with covered eyes.

Abstract:

:Direct electrical stimulation (DES) of the optic radiation (OR) during an awake tumor resection has been repeatedly reported. In all cases, visual function monitoring was performed in patients with open eyes which were looking at a picture. We report a new modification of the standard method, OR stimulation in patient with closed and covered eyes. To the best of our knowledge, this method was not presented before. According to our first experience, this methodology may be in some cases a potentially more sensitive form of neuromonitoring than the OR stimulation in patients with open eyes, as the phosphenes elicited by DES may be more distinct in patients with covered eyes. The technique is discussed, and a literature review on intraoperative identification of the OR is presented as well. However, a future prospective study is needed to confirm the relevance of our finding.

journal_name

Neurosurg Rev

journal_title

Neurosurgical review

authors

Steňo A,Hollý V,Fabian M,Kuniak M,Timárová G,Steňo J

doi

10.1007/s10143-014-0535-9

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

527-33; discussion 533

issue

3

eissn

0344-5607

issn

1437-2320

journal_volume

37

pub_type

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