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Prognostic value of transcranial facial nerve motor-evoked potentials in predicting facial nerve function following cerebellopontine angle tumorectomy 期刊论文

编号：

59b2ae16-4bdd-40cb-a59d-65e0d9f70648
作者：

Song, Hongmei(宋红梅)#^[1]Ma, Chengyuan^[1];Xu, Dahai(徐大海)^[2]Yu, Mingxin^[1];Feng, Jiachun(冯加纯)*^[3]Sun, Lichao(孙立超)*^[2]
语种：

English
期刊：

MEDICINE ISSN：0025-7974 2018 年 97 卷 40 期 ; OCT
收录：
关键词：

cerebellopontine angle facial nerve motor-evoked potentials facial nerve paralysis prognosis transcranial electrical stimulation tumorectomy
摘要：

Facial nerve paralysis is a common complication following cerebellopontine angle (CPA) surgery. This study investigated the prognostic value of facial nerve motor-evoked potentials (FNMEPs) elicited by transcranial electrical stimulation for facial nerve outcome after CPA tumorectomy. A total of 95 patients were enrolled in this study between January 2014 and January 2016. All these patients underwent CPA tumorectomy (unilateral, n= 95; bilateral, n= 1). Intraoperative FNMEP elicited by transcranial electrical stimulation was recorded. The short-and long-term postoperative facial nerve functions were evaluated according to the House-Brackmann (HB) scale. The correlation between perioperative changes in the FNMEP stimulus threshold (delta FNMEP = postoperative stimulus threshold level-preoperative stimulus threshold level) and postoperative facial nerve functions were analyzed. On the first day postoperatively, the facial nerve function was HB grade I in 67, grade II in 17, grade III in 7, and grade IV in 5 facial nerves. One year postoperatively, the facial nerve function was grade I in 80, grade II in 11, grade III in 3, and grade IV in 2 facial nerves. The delta FNMEP was significantly correlated with the short-and long-term facial nerve function; receiver operating characteristic (ROC) curves yielded a cut-off delta FNMEP value of 30V (sensitivity, 91.3%; specificity, 98.6%) and 75V (sensitivity, 100%; specificity, 98.8%) for predicting short-and long-term facial nerve function damage, respectively. FNMEP elicited by transcranial electrical stimulation is an effective and safe approach for predicting facial nerve function in CPA tumorectomy. A high delta FNMEP is a potential indicator for the prediction of postoperative facial nerve damage.
推荐引用方式
GB/T 7714：

Song Hongmei,Ma Chengyuan,Xu Dahai, et al. Prognostic value of transcranial facial nerve motor-evoked potentials in predicting facial nerve function following cerebellopontine angle tumorectomy [J].MEDICINE,2018,97(40).
APA：

Song Hongmei,Ma Chengyuan,Xu Dahai,Yu Mingxin,&Sun Lichao.(2018).Prognostic value of transcranial facial nerve motor-evoked potentials in predicting facial nerve function following cerebellopontine angle tumorectomy .MEDICINE,97(40).
MLA：

Song Hongmei, et al. "Prognostic value of transcranial facial nerve motor-evoked potentials in predicting facial nerve function following cerebellopontine angle tumorectomy" .MEDICINE 97,40(2018).
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