Continuous somatosensory evoked potential monitoring during brain tumor resection. Report of four cases and review of the literature

J Neurosurg. 2002 Sep;97(3):709-13. doi: 10.3171/jns.2002.97.3.0709.

Abstract

The neurosurgical management of intrinsic brain tumors and brain metastases mandates maximum resection with preservation of functional cortex. There have been previous reports on the use of cortical somatosensory evoked potentials (SSEPs) for localization of functional cortex prior to resection. The identification of rolandic cortex with the use of intraoperative SSEP monitoring enables the neurosurgeon to tailor the surgery to achieve a greater extent of resection while minimizing the risk of morbidity. The use of continuous SSEP monitoring during resection to provide an ongoing functional assessment of somatosensory cortex has not been reported. This powerful technique is illustrated using four case examples.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenomatous Polyposis Coli / pathology
  • Adolescent
  • Aged
  • Brain Mapping / methods*
  • Brain Neoplasms / secondary
  • Brain Neoplasms / surgery*
  • Breast Neoplasms / pathology
  • Carcinoma, Small Cell / secondary
  • Evoked Potentials, Somatosensory*
  • Female
  • Humans
  • Lung Neoplasms / pathology
  • Male
  • Middle Aged
  • Monitoring, Intraoperative / methods*