Somatosensory Evoked Potentials as a Useful Tool to Limit the Temporary Clipping Time during Aneurysm Clipping

Abstract

Perioperative neurological deficit is one of the known complications of cerebral aneurysm clipping procedures, leading to significant morbidity and mortality of the patients. 1 Neurological deficits noticed immediately in the postoperative period are often due to prolonged temporary or permanent clipping on adjacent vessels. Intraoperative somatosensory evoked potentials (SSEPs) have been in use to predict postoperative neurological deficits. Here is a 56-year-old male patient presenting with sudden onset of left upper limb weakness Anesthesia mumps (also known as acute sialadenitis) is a rare postoperative complication related to extreme rotation or flexion of the head during 1 Acute sialadenitis causing acute airway obstruction and requiring emergent tra-cheostomy has not been reported in the past. We describe a case of acute submandibular and parotid sialadenitis causing acute respiratory distress after posterior fossa craniotomy for the right cerebellopontine (CP) angle lesion. Informed con-sent has been obtained from the patient for the images in this article.