Abstract:
OBJECTIVE:Neurophysiological intraoperative monitoring of the glossopharyngeal nerve has been performed only with needle electrodes inserted into the pharyngeal muscles or soft palate. We describe a noninvasive method of monitoring this cranial nerve. METHODS:A 30-year-old man who presented with headache, as well as speech and swallowing difficulty, underwent surgical resection of a right vagus nerve schwannoma. Neurophysiological intraoperative monitoring of multiple lower cranial nerves, including the glossopharyngeal and vagus nerves, was performed. RESULTS:The glossopharyngeal nerve was monitored with an adhesive surface electrode mounted on the cuff of a laryngeal mask airway, and the vagus nerve was monitored with a similar electrode mounted on the endotracheal tube. Successful monitoring allowed separation of the glossopharyngeal nerve from the tumor, and there was no postoperative swallowing deficit. CONCLUSION:Monitoring of the glossopharyngeal nerve with surface electrodes is possible and reliable, but it must be combined with vagus nerve monitoring.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Husain AM,Wright DR,Stolp BW,Friedman AH,Keifer JCdoi
10.1227/01.NEU.0000316425.21752.E2subject
Has Abstractpub_date
2008-10-01 00:00:00pages
277-8; discussion 278issue
4 Suppl 2eissn
0148-396Xissn
1524-4040pii
00006123-200810002-00008journal_volume
63pub_type
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