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- Title
Preprocedural Electrophysiological Monitoring in Craniofacial Surgery for a Patient with Chiari Malformation.
- Authors
Tucker, Alexander M.; Madsen, Peter J.; Coyle, Anne M.; King, Hunter; Zahner, Cristina; Lang, Shih-Shan; Taylor, Jesse A.; Heuer, Gregory G.
- Abstract
Head and neck positioning is a key element of craniofacial reconstructive surgery and can become challenging when intervention necessitates broad exposure of the calvarium. We present a case of craniosynostosis secondary to Apert's syndrome requiring anterior and posterior cranial vault access during surgical correction. A modified sphinx position was used that required significant neck extension. The patient had concurrent Chiari I malformation with brain stem compression so intraoperative neuromonitoring (IONM) was used to ensure that there were no negative effects on the neural elements with positioning. This highlights benefits of IONM in a setting not typically associated with its use.
- Subjects
TRANSPLANTATION of organs, tissues, etc.; APERT syndrome; SOMATOSENSORY evoked potentials; EVOKED potentials (Electrophysiology); MAGNETIC resonance imaging; PREOPERATIVE care; TREATMENT effectiveness; ARNOLD-Chiari deformity; INTRAOPERATIVE monitoring; SURGICAL complications; PEDIATRICS; CRANIOSYNOSTOSES; INTENSIVE care units; PLASTIC surgery; CRANIOFACIAL abnormalities; CEREBELLUM; PULMONARY arterial hypertension; ELECTROPHYSIOLOGY; SKULL surgery
- Publication
Cleft Palate Craniofacial Journal, 2024, Vol 61, Issue 4, p712
- ISSN
1055-6656
- Publication type
Article
- DOI
10.1177/10556656221135284