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- Mathangi Krishnakumar, Venkatapura Ramesh, Amit Goyal, and Dwarakanath Srinivas.
- From the Departments of Neuroanaesthesia and Neurocritical Care.
- A A Pract. 2020 Oct 1; 14 (12): e01323.
AbstractAtlantoaxial dislocation (AAD) poses a significant challenge in terms of positioning and surgical fixation as there is increased risk of cord compression and ischemia. Intraoperative neuromonitoring (IONM) provides a useful tool to identify impending position-related dysfunction. Here we demonstrate the utility of using transcranial motor evoked potential (Tc-MEP) to identify and treat suboptimal positioning in a 13-year-old patient with AAD and Arnold-Chiari malformation.
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