• Acta neurochirurgica · Jul 2010

    Case Reports

    Monitoring of motor and somatosensory systems in a 26-week pregnant woman.

    • Jesús Pastor, Paloma Pulido, Andrés López, and Rafael G Sola.
    • Clinical Neurophysiology, Hospital Universitario La Princesa, C/Diego de León 62, 28006, Madrid, Spain. jpastor.hlpr@salud.madrid.org
    • Acta Neurochir (Wien). 2010 Jul 1;152(7):1231-4.

    IntroductionWe report the case of a 34-year-old woman who was 26 weeks pregnant and needed a brain surgery.MethodsWe performed intraoperative neurophysiological monitoring (IONM) with motor-evoked potentials (MEP) elicited by transcranial electrical stimulation and somatosensory-evoked potentials (SSEP). Additionally, uterine myometric tone from the mother and fetal heart rate were also monitored. Forty-three MEP and 35 SSEP trains were applied (energy delivered, 2.35 and 0.45 J, respectively).FindingsNo changes related to electrical stimulation in either uterine muscle tone or fetal heart rate were observed. No motor or new somatosensory deficits appeared.ConclusionOur findings suggest that IONM can be safely applied in pregnant women.

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