Justin W Silverstein, James Duehr, Sabena Vilaysom, Michael Schulder, Daniel G Eichberg
{"title":"Detecting and Addressing Secondary Neural Injuries in Cranial Surgery: Case Report.","authors":"Justin W Silverstein, James Duehr, Sabena Vilaysom, Michael Schulder, Daniel G Eichberg","doi":"10.1080/21646821.2024.2388954","DOIUrl":"10.1080/21646821.2024.2388954","url":null,"abstract":"<p><p>Intraoperative neurophysiological monitoring (IONM) is instrumental in mitigating neurological deficits following cranial and spinal procedures. Despite extensive research on IONM's ability to recognize limb-malposition-related issues, less attention has been given to other secondary neural injuries in cranial surgeries. A comprehensive multimodal neuromonitoring approach was employed during a left frontal craniotomy for tumor resection. The electronic medical record was reviewed in detail in order to describe the patient's clinical course. The patient, a 46-year-old female, underwent craniotomy for excision of a meningioma. Deteriorations in somatosensory evoked potential and transcranial motor evoked potential recordings identified both a mal-positioned limb as well as an infiltrated intravenous (IV) line in the arm contralateral to the surgical site. The IONM findings for the infiltrated IV were initially attributed to potential limb malposition until swelling and blistering of the limb were appreciated and investigated. The timely identification and management of the infiltrated IV and adjustment of limb positioning contributed to the patient's recovery, avoiding fasciotomy, with no postoperative neurological deficits. This case is the first published demonstration of the utility of IONM in detecting IV infiltration. This early recognition facilitated early intervention, saving the patient from a potential fasciotomy and enabling their recovery with no postoperative neurological deficits. The findings from this single case highlight the necessity for vigilant and dynamic application of IONM techniques to enhance patient safety and outcomes in neurosurgical procedures. Further research is needed to explore broader applications and further optimize the detection capabilities of IONM.</p>","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"203-217"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Graphogenic Reflex Epilepsy: A Case Report and Literature Review.","authors":"Lindsay M Joslyn","doi":"10.1080/21646821.2024.2396739","DOIUrl":"10.1080/21646821.2024.2396739","url":null,"abstract":"<p><p>Graphogenic, or writing epilepsy, is a rare type of reflex epilepsy (RE) in which seizures are provoked by the act of writing. RE is a condition that affects between 4% and 7% of all patients diagnosed with epilepsy. In this case study, we provide a case report on a patient whose seizures were generated by the act of writing. We also present evidence that the cortical mechanisms by which writing-induced seizures occur are focal with possible secondary generalization.</p>","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"226-232"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"THANK YOU TO OUR 2024 REVIEWERS.","authors":"","doi":"10.1080/21646821.2024.2416373","DOIUrl":"https://doi.org/10.1080/21646821.2024.2416373","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"64 4","pages":"255-256"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Maureen Berkeley Award and the Theda Sannit Outstanding Educator Award.","authors":"","doi":"10.1080/21646821.2024.2415854","DOIUrl":"https://doi.org/10.1080/21646821.2024.2415854","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"64 4","pages":"252-254"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"THANK YOU TO OUR 2024 REVIEWERS.","authors":"","doi":"10.1080/21646821.2024.2416373","DOIUrl":"https://doi.org/10.1080/21646821.2024.2416373","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"64 4","pages":"255-256"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Maureen Berkeley Award and the Theda Sannit Outstanding Educator Award.","authors":"","doi":"10.1080/21646821.2024.2415854","DOIUrl":"https://doi.org/10.1080/21646821.2024.2415854","url":null,"abstract":"","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":"64 4","pages":"252-254"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}