Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases

The hypoglossal nerve (CN XII) may be placed at risk during posterior fossa surgeries. The use of intraoperative monitoring (IOM), including the utilization of spontaneous and triggered electromyography (EMG), from tongue muscles innervated by CN XII has been used to reduce these risks. However, the...

Full description

Saved in:
Bibliographic Details
Published in:Annals of rehabilitation medicine 2018, 42(2), , pp.352-357
Main Authors: Kim, Seung Yeun, Im, Hyo Won, Choi, Young-Doo, Kim, Keewon, Kim, Jin Wook, Kim, Yong Hwy, Seo, Han Gil
Format: Article
Language:English
Subjects:
Case Report
Hypoglossal nerve
Intraoperative monitoring
Motor evoked potentials
재활의학
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c499t-e0716dc18a9710759d4896c636d353e7101b005110b4f2ddc388065ccf8092a63
cites cdi_FETCH-LOGICAL-c499t-e0716dc18a9710759d4896c636d353e7101b005110b4f2ddc388065ccf8092a63
container_end_page 357
container_issue 2
container_start_page 352
container_title Annals of rehabilitation medicine
container_volume 42
creator Kim, Seung Yeun
Im, Hyo Won
Choi, Young-Doo
Kim, Keewon
Kim, Jin Wook
Kim, Yong Hwy
Seo, Han Gil
description The hypoglossal nerve (CN XII) may be placed at risk during posterior fossa surgeries. The use of intraoperative monitoring (IOM), including the utilization of spontaneous and triggered electromyography (EMG), from tongue muscles innervated by CN XII has been used to reduce these risks. However, there were few reports regarding the intraoperative transcranial motor evoked potential (MEP) of hypoglossal nerve from the tongue muscles. For this reason, we report here two cases of intraoperative hypoglossal MEP monitoring in brain surgery as an indicator of hypoglossal deficits. Although the amplitude of the MEP was reduced in both patients, only in the case 1 whose MEP was disappeared demonstrated the neurological deficits of the hypoglossal nerve. Therefore, the disappearance of the hypoglossal MEP recorded from the tongue, could be considered a predictor of the postoperative hypoglossal nerve deficits.
doi_str_mv 10.5535/arm.2018.42.2.352
format article
fullrecord <record><control><sourceid>proquest_nrf_k</sourceid><recordid>TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_4431385</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_0c659a68293e417b9cc79924ec231881</doaj_id><sourcerecordid>2039894907</sourcerecordid><originalsourceid>FETCH-LOGICAL-c499t-e0716dc18a9710759d4896c636d353e7101b005110b4f2ddc388065ccf8092a63</originalsourceid><addsrcrecordid>eNpVUk1vEzEQXSEQrUp_ABfkIxyy-HttDkhRVGikFlBJz5bj9QY3u-vF3gTlT_CbmSQlan0Z-82bN2P7FcVbgkshmPhoU1dSTFTJaUlLJuiL4pxSxidYCvbytOfirLjM-QHDEpJoSl4XZ1RXUiiNz4u_835MNg4-2TFsPbqNfRhjCv0KxQZd74a4amPOtkXffIL8fd6nnuK3EfjoahvXvkY_4uj7MQAcejTvG1CFM-gBsth0QPy5SSufdp_QFN35IaZx32fxJ6KZzT6_KV41ts3-8jFeFPdfrhaz68nN96_z2fRm4rjW48TjisjaEWV1RXAldM2Vlk4yWTPBPGBkCdclBC95Q-vaMaXgWZxrFNbUSnZRfDjq9qkxaxdMtOEQV9Gsk5neLeaGc0aYEsCdH7l1tA9mSKGzaXcoOAAxrYxNY3CtN9hJoa1UVDPPSbXUzlVaU-4dZUQpAlqfj1rDZtn52vn967fPRJ9n-vALZtoaoTmWhIHA-0eBFH9vfB5NF7LzbWt7HzfZUMy00lzjCqjkSHUJfir55tSGYLO3EIzdmb2FDKeGGrAQ1Lx7Ot-p4r9h2D_N7sMk</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2039894907</pqid></control><display><type>article</type><title>Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases</title><source>PubMed Central</source><creator>Kim, Seung Yeun ; Im, Hyo Won ; Choi, Young-Doo ; Kim, Keewon ; Kim, Jin Wook ; Kim, Yong Hwy ; Seo, Han Gil</creator><creatorcontrib>Kim, Seung Yeun ; Im, Hyo Won ; Choi, Young-Doo ; Kim, Keewon ; Kim, Jin Wook ; Kim, Yong Hwy ; Seo, Han Gil</creatorcontrib><description>The hypoglossal nerve (CN XII) may be placed at risk during posterior fossa surgeries. The use of intraoperative monitoring (IOM), including the utilization of spontaneous and triggered electromyography (EMG), from tongue muscles innervated by CN XII has been used to reduce these risks. However, there were few reports regarding the intraoperative transcranial motor evoked potential (MEP) of hypoglossal nerve from the tongue muscles. For this reason, we report here two cases of intraoperative hypoglossal MEP monitoring in brain surgery as an indicator of hypoglossal deficits. Although the amplitude of the MEP was reduced in both patients, only in the case 1 whose MEP was disappeared demonstrated the neurological deficits of the hypoglossal nerve. Therefore, the disappearance of the hypoglossal MEP recorded from the tongue, could be considered a predictor of the postoperative hypoglossal nerve deficits.</description><identifier>ISSN: 2234-0645</identifier><identifier>EISSN: 2234-0653</identifier><identifier>DOI: 10.5535/arm.2018.42.2.352</identifier><identifier>PMID: 29765890</identifier><language>eng</language><publisher>Korea (South): Korean Academy of Rehabilitation Medicine</publisher><subject>Case Report ; Hypoglossal nerve ; Intraoperative monitoring ; Motor evoked potentials ; 재활의학</subject><ispartof>Annals of Rehabilitation Medicine, 2018, 42(2), , pp.352-357</ispartof><rights>Copyright © 2018 by Korean Academy of Rehabilitation Medicine 2018 Korean Academy of Rehabilitation Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-e0716dc18a9710759d4896c636d353e7101b005110b4f2ddc388065ccf8092a63</citedby><cites>FETCH-LOGICAL-c499t-e0716dc18a9710759d4896c636d353e7101b005110b4f2ddc388065ccf8092a63</cites><orcidid>0000-0001-6597-578X ; 0000-0002-3773-3940 ; 0000-0002-0994-8055 ; 0000-0002-5254-1728 ; 0000-0001-9009-4191 ; 0000-0002-1674-1095 ; 0000-0001-6904-7542</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940613/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940613/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29765890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002339414$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Seung Yeun</creatorcontrib><creatorcontrib>Im, Hyo Won</creatorcontrib><creatorcontrib>Choi, Young-Doo</creatorcontrib><creatorcontrib>Kim, Keewon</creatorcontrib><creatorcontrib>Kim, Jin Wook</creatorcontrib><creatorcontrib>Kim, Yong Hwy</creatorcontrib><creatorcontrib>Seo, Han Gil</creatorcontrib><title>Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases</title><title>Annals of rehabilitation medicine</title><addtitle>Ann Rehabil Med</addtitle><description>The hypoglossal nerve (CN XII) may be placed at risk during posterior fossa surgeries. The use of intraoperative monitoring (IOM), including the utilization of spontaneous and triggered electromyography (EMG), from tongue muscles innervated by CN XII has been used to reduce these risks. However, there were few reports regarding the intraoperative transcranial motor evoked potential (MEP) of hypoglossal nerve from the tongue muscles. For this reason, we report here two cases of intraoperative hypoglossal MEP monitoring in brain surgery as an indicator of hypoglossal deficits. Although the amplitude of the MEP was reduced in both patients, only in the case 1 whose MEP was disappeared demonstrated the neurological deficits of the hypoglossal nerve. Therefore, the disappearance of the hypoglossal MEP recorded from the tongue, could be considered a predictor of the postoperative hypoglossal nerve deficits.</description><subject>Case Report</subject><subject>Hypoglossal nerve</subject><subject>Intraoperative monitoring</subject><subject>Motor evoked potentials</subject><subject>재활의학</subject><issn>2234-0645</issn><issn>2234-0653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVUk1vEzEQXSEQrUp_ABfkIxyy-HttDkhRVGikFlBJz5bj9QY3u-vF3gTlT_CbmSQlan0Z-82bN2P7FcVbgkshmPhoU1dSTFTJaUlLJuiL4pxSxidYCvbytOfirLjM-QHDEpJoSl4XZ1RXUiiNz4u_835MNg4-2TFsPbqNfRhjCv0KxQZd74a4amPOtkXffIL8fd6nnuK3EfjoahvXvkY_4uj7MQAcejTvG1CFM-gBsth0QPy5SSufdp_QFN35IaZx32fxJ6KZzT6_KV41ts3-8jFeFPdfrhaz68nN96_z2fRm4rjW48TjisjaEWV1RXAldM2Vlk4yWTPBPGBkCdclBC95Q-vaMaXgWZxrFNbUSnZRfDjq9qkxaxdMtOEQV9Gsk5neLeaGc0aYEsCdH7l1tA9mSKGzaXcoOAAxrYxNY3CtN9hJoa1UVDPPSbXUzlVaU-4dZUQpAlqfj1rDZtn52vn967fPRJ9n-vALZtoaoTmWhIHA-0eBFH9vfB5NF7LzbWt7HzfZUMy00lzjCqjkSHUJfir55tSGYLO3EIzdmb2FDKeGGrAQ1Lx7Ot-p4r9h2D_N7sMk</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Kim, Seung Yeun</creator><creator>Im, Hyo Won</creator><creator>Choi, Young-Doo</creator><creator>Kim, Keewon</creator><creator>Kim, Jin Wook</creator><creator>Kim, Yong Hwy</creator><creator>Seo, Han Gil</creator><general>Korean Academy of Rehabilitation Medicine</general><general>대한재활의학회</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><scope>ACYCR</scope><orcidid>https://orcid.org/0000-0001-6597-578X</orcidid><orcidid>https://orcid.org/0000-0002-3773-3940</orcidid><orcidid>https://orcid.org/0000-0002-0994-8055</orcidid><orcidid>https://orcid.org/0000-0002-5254-1728</orcidid><orcidid>https://orcid.org/0000-0001-9009-4191</orcidid><orcidid>https://orcid.org/0000-0002-1674-1095</orcidid><orcidid>https://orcid.org/0000-0001-6904-7542</orcidid></search><sort><creationdate>20180401</creationdate><title>Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases</title><author>Kim, Seung Yeun ; Im, Hyo Won ; Choi, Young-Doo ; Kim, Keewon ; Kim, Jin Wook ; Kim, Yong Hwy ; Seo, Han Gil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-e0716dc18a9710759d4896c636d353e7101b005110b4f2ddc388065ccf8092a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Case Report</topic><topic>Hypoglossal nerve</topic><topic>Intraoperative monitoring</topic><topic>Motor evoked potentials</topic><topic>재활의학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Seung Yeun</creatorcontrib><creatorcontrib>Im, Hyo Won</creatorcontrib><creatorcontrib>Choi, Young-Doo</creatorcontrib><creatorcontrib>Kim, Keewon</creatorcontrib><creatorcontrib>Kim, Jin Wook</creatorcontrib><creatorcontrib>Kim, Yong Hwy</creatorcontrib><creatorcontrib>Seo, Han Gil</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><collection>Korean Citation Index</collection><jtitle>Annals of rehabilitation medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Seung Yeun</au><au>Im, Hyo Won</au><au>Choi, Young-Doo</au><au>Kim, Keewon</au><au>Kim, Jin Wook</au><au>Kim, Yong Hwy</au><au>Seo, Han Gil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases</atitle><jtitle>Annals of rehabilitation medicine</jtitle><addtitle>Ann Rehabil Med</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>42</volume><issue>2</issue><spage>352</spage><epage>357</epage><pages>352-357</pages><issn>2234-0645</issn><eissn>2234-0653</eissn><abstract>The hypoglossal nerve (CN XII) may be placed at risk during posterior fossa surgeries. The use of intraoperative monitoring (IOM), including the utilization of spontaneous and triggered electromyography (EMG), from tongue muscles innervated by CN XII has been used to reduce these risks. However, there were few reports regarding the intraoperative transcranial motor evoked potential (MEP) of hypoglossal nerve from the tongue muscles. For this reason, we report here two cases of intraoperative hypoglossal MEP monitoring in brain surgery as an indicator of hypoglossal deficits. Although the amplitude of the MEP was reduced in both patients, only in the case 1 whose MEP was disappeared demonstrated the neurological deficits of the hypoglossal nerve. Therefore, the disappearance of the hypoglossal MEP recorded from the tongue, could be considered a predictor of the postoperative hypoglossal nerve deficits.</abstract><cop>Korea (South)</cop><pub>Korean Academy of Rehabilitation Medicine</pub><pmid>29765890</pmid><doi>10.5535/arm.2018.42.2.352</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6597-578X</orcidid><orcidid>https://orcid.org/0000-0002-3773-3940</orcidid><orcidid>https://orcid.org/0000-0002-0994-8055</orcidid><orcidid>https://orcid.org/0000-0002-5254-1728</orcidid><orcidid>https://orcid.org/0000-0001-9009-4191</orcidid><orcidid>https://orcid.org/0000-0002-1674-1095</orcidid><orcidid>https://orcid.org/0000-0001-6904-7542</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2234-0645
ispartof Annals of Rehabilitation Medicine, 2018, 42(2), , pp.352-357
issn 2234-0645
2234-0653
language eng
recordid cdi_nrf_kci_oai_kci_go_kr_ARTI_4431385
source PubMed Central
subjects Case Report
Hypoglossal nerve
Intraoperative monitoring
Motor evoked potentials
재활의학
title Intraoperative Monitoring of Hypoglossal Nerve Using Hypoglossal Motor Evoked Potential in Infratentorial Tumor Surgery: A Report of Two Cases
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T02%3A47%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_nrf_k&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Intraoperative%20Monitoring%20of%20Hypoglossal%20Nerve%20Using%20Hypoglossal%20Motor%20Evoked%20Potential%20in%20Infratentorial%20Tumor%20Surgery:%20A%20Report%20of%20Two%20Cases&rft.jtitle=Annals%20of%20rehabilitation%20medicine&rft.au=Kim,%20Seung%20Yeun&rft.date=2018-04-01&rft.volume=42&rft.issue=2&rft.spage=352&rft.epage=357&rft.pages=352-357&rft.issn=2234-0645&rft.eissn=2234-0653&rft_id=info:doi/10.5535/arm.2018.42.2.352&rft_dat=%3Cproquest_nrf_k%3E2039894907%3C/proquest_nrf_k%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c499t-e0716dc18a9710759d4896c636d353e7101b005110b4f2ddc388065ccf8092a63%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2039894907&rft_id=info:pmid/29765890&rfr_iscdi=true