Publikation
Facial nerve motor evoked potentials during skull base surgery to monitor facial nerve function using the threshold-level method.
Wissenschaftlicher Artikel/Review - 01.03.2013
Sarnthein Johannes, Hejrati Nader, Neidert Marian Christoph, Huber Alexander M, Krayenbühl Niklaus
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During surgeries that put the facial nerve at risk for injury, its function can be continuously monitored by transcranial facial nerve motor evoked potentials (FNMEPs) in facial nerve target muscles. Despite their advantages, FNMEPs are not yet widely used. While most authors use a 50% reduction in FNMEP response amplitudes as a warning criterion, in this paper the authors' approach was to keep the response amplitude constant by increasing the stimulation intensity and to establish a warning criterion based on the "threshold-level" method.