Skip to main content
SpringerLink
Log in

SEP and EEG Monitoring During Carotid Surgery

  • Chapter
Evoked Potentials

Abstract

A great deal of arterial pathology responsible for ischemic alterations of the brain is amenable today to surgical treatment, particularly when it involves the extracranial carotid arteries. Perioperative neurologic complications still range from 1 to l0%1, resulting from a variety of causes: impaired cerebral perfusion during carotid occlusion, distal embolization of atheromatous fragments, carotid artery thrombosis, and reperfusion injury2. Several methods have been developed by anesthesiologists and surgeons focusing on the early detection of reduced cerebral function during the carotid surgery and prevention of permanent brain injury.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Russ W, Fraedrich G, Hehrlein FW, Hempelmann G (1985) Intraoperative somatosensory evoked potentials as a prognostic factor of neurologic state after carotid endarterectomy. Thorac Cardiovasc Surg 33: 392–396

    Article  CAS  PubMed  Google Scholar 

  2. Steed DL, Peitzmann AB, Grundy BL, Webster MW (1982) Causes of stroke in carotid endarterectomy. Surgery 92: 634–641

    CAS  PubMed  Google Scholar 

  3. Branston NM, Symon L, Crockard HA, Pasztor E (1974) Relationship between the cortical evoked potential and local cortical blood flow following acute middle cerebral artery occlusion in the baboon. Exp Neurol 45: 195–208

    Article  CAS  PubMed  Google Scholar 

  4. Jasper HH (1958) The ten-twenty electrode system of the international federation. Electroencephalogr Clin Neurophysiol 10: 371–375

    Google Scholar 

  5. Hume AL, Cant BR (1978) Conduction time in central somatosensory pathways in man. Electroencephalogr Clin Neurophysiol 45: 361–375

    Article  CAS  PubMed  Google Scholar 

  6. Prioleau WH Jr, Aiken AF, Hairston P (1977) Carotid endarterectomy: neurologic complications as related to surgical techniques. Ann Surg 185: 678–683

    Article  PubMed Central  PubMed  Google Scholar 

  7. Hargadine JR, Branston NM, Symon L (1980) Central conduction time in primate brain ischemia: a study in baboons. Stroke 11: 637–642

    Article  CAS  PubMed  Google Scholar 

  8. Grundy BL, Sanderson AC, Webster MW, Richey ET, Procopio P, Karanjia PN (1981) Hemiparesis following carotid endarterectomy. Anesthesiology 55: 462–466

    Article  CAS  PubMed  Google Scholar 

  9. Grundy BL (1985) Intraoperative applications of evoked responses. In: Owen JH, Davis H (eds) Evoked potential testing. Grune and Stratton Inc, Orlando, U.S.A., pp 159–212

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. CNR Institute of Muscle Physiology c/o, University of Milano, Italy

    E. Fava

  2. Institute of Neurosurgery, University of Milano, Italy

    A. Ducati, M. Cenzato & A. Landi

  3. Institute of General and Cardiovascular Surgery, University of Milano, Italy

    E. Bortolani

  4. II Chair of Anesthesiology, University of Milano, Italy

    D. Ghilardi & R. Trazzi

Authors
  1. E. Fava
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Ducati
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. E. Bortolani
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Cenzato
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. Landi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. D. Ghilardi
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. R. Trazzi
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. College of Medicine, University of Florida, USA

    Betty L. Grundy (Professor of Anesthesiology, Chief Anesthesiology Service) (Professor of Anesthesiology, Chief Anesthesiology Service)

  2. Veterans Administration Medical Center, Gainesville, Fla., USA

    Betty L. Grundy (Professor of Anesthesiology, Chief Anesthesiology Service) (Professor of Anesthesiology, Chief Anesthesiology Service)

  3. Institute of Neurosurgery, University of Milano, Milano, Italy

    Roberto M. Villani (Professor and Chairman) (Professor and Chairman)

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer-Verlag Wien

About this chapter

Cite this chapter

Fava, E. et al. (1988). SEP and EEG Monitoring During Carotid Surgery. In: Grundy, B.L., Villani, R.M. (eds) Evoked Potentials. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4431-2_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-4431-2_10

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-82059-9

  • Online ISBN: 978-3-7091-4431-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation