Clinical observation of surgical treatment of cavernous malformation of the dorsal pons using intraoperative neurophysiological monitoring

Abstract

The presented clinical observation of surgical treatment of cavernous malformation of the left dorsal part of pons using the intraoperative neurophysiological monitoring (IONM) is of scientific and applied interest. IONM is a relatively new diagnostic and at the same time the least studied direction in the system of neurophysiological support in high-tech neurosurgical care in Ukraine. The clinical manifestations, the results of clinical and instrumental methods of examination, and the course of the operation are analyzed in detail. The ISIS IONM system (Inomed, Germany) was used for monitoring. This case demonstrates that the use of multimodal IONM allows you to identify in real time most of the structures of the central nervous system that are at risk of surgery and prevent their damage. This makes it possible to prevent the development of postoperative neurological deficits and reduce the risk of disability in patients. The factor that ensures the success of IONM is the constructive interaction of neurosurgeons, neurophysiologists, and anesthesiologist.