Cortical potentials after electrical intraneural stimulation of the optic nerve during orbital enucleation

Background The aim of this study was to present cortical potentials after electrical intraneural stimulation of the optic nerve during orbital enucleation due to malignant melanoma of the choroid or the ciliary body. These cortical potentials were related to cortical potentials after electrical epid...

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Veröffentlicht in:Documenta ophthalmologica 2012-12, Vol.125 (3), p.195-202
Hauptverfasser: Benedičič, Mitja, Beltram, Matej, Olup, Brigita Drnovšek, Bošnjak, Roman
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Beltram, Matej
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description Background The aim of this study was to present cortical potentials after electrical intraneural stimulation of the optic nerve during orbital enucleation due to malignant melanoma of the choroid or the ciliary body. These cortical potentials were related to cortical potentials after electrical epidural stimulation of the optic nerve, recorded during non-manipulative phases of neurosurgery for central skull base tumors. Methods Cortical potentials were recorded with surface occipital electrode (Oz) in six patients undergoing orbital enucleation under total intravenous anesthesia. Two thin needle stimulating electrodes were inserted inside the intraorbital part of the optic nerve. The electrical stimulus consisted of a rectangular current pulse of varying intensity (0.2–10.0 mA) and duration (0.1–0.3 ms); the stimulation rate was 2 Hz; the bandpass filter was 1–1,000 Hz; the analysis time was 50–300 ms. Results Cortical potentials could not be obtained or were inconsistently elicitable in three patients with longstanding history (>3 months) of severe visual deterioration, while they consisted of several positive and negative deflections in a patient with a short history of mild visual impairment. In two other patients, cortical potentials consisted of N20, P30 and N40 waves. Discussion Cortical potentials after electrical intraneural stimulation of the optic nerve could be recorded in patients with a short history of visual deterioration and without optic nerve atrophy and appear more heterogeneous than cortical potentials after electrical epidural stimulation of the optic nerve, recorded during non-manipulative phases of neurosurgery for central skull base tumors.
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These cortical potentials were related to cortical potentials after electrical epidural stimulation of the optic nerve, recorded during non-manipulative phases of neurosurgery for central skull base tumors. Methods Cortical potentials were recorded with surface occipital electrode (Oz) in six patients undergoing orbital enucleation under total intravenous anesthesia. Two thin needle stimulating electrodes were inserted inside the intraorbital part of the optic nerve. The electrical stimulus consisted of a rectangular current pulse of varying intensity (0.2–10.0 mA) and duration (0.1–0.3 ms); the stimulation rate was 2 Hz; the bandpass filter was 1–1,000 Hz; the analysis time was 50–300 ms. Results Cortical potentials could not be obtained or were inconsistently elicitable in three patients with longstanding history (&gt;3 months) of severe visual deterioration, while they consisted of several positive and negative deflections in a patient with a short history of mild visual impairment. In two other patients, cortical potentials consisted of N20, P30 and N40 waves. Discussion Cortical potentials after electrical intraneural stimulation of the optic nerve could be recorded in patients with a short history of visual deterioration and without optic nerve atrophy and appear more heterogeneous than cortical potentials after electrical epidural stimulation of the optic nerve, recorded during non-manipulative phases of neurosurgery for central skull base tumors.</description><identifier>ISSN: 0012-4486</identifier><identifier>EISSN: 1573-2622</identifier><identifier>DOI: 10.1007/s10633-012-9346-x</identifier><identifier>PMID: 22890849</identifier><identifier>CODEN: DOOPAA</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Aged ; Aged, 80 and over ; Anesthesia, Intravenous ; Electric Stimulation ; Electrodes ; Evoked Potentials, Visual - physiology ; Eye Enucleation ; Female ; Fluorescein Angiography ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Melanoma - pathology ; Melanoma - surgery ; Middle Aged ; Neurosurgical Procedures ; Ophthalmology ; Optic Nerve - physiology ; Original Research Article ; Ultrasonography, Doppler ; Uveal Neoplasms - pathology ; Uveal Neoplasms - surgery ; Visual Cortex - physiology</subject><ispartof>Documenta ophthalmologica, 2012-12, Vol.125 (3), p.195-202</ispartof><rights>Springer-Verlag 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-be102642228dfe22d29dc7c5b40e528fca3191977650d94ae8fbb9afea22c1e43</citedby><cites>FETCH-LOGICAL-c405t-be102642228dfe22d29dc7c5b40e528fca3191977650d94ae8fbb9afea22c1e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10633-012-9346-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10633-012-9346-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22890849$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benedičič, Mitja</creatorcontrib><creatorcontrib>Beltram, Matej</creatorcontrib><creatorcontrib>Olup, Brigita Drnovšek</creatorcontrib><creatorcontrib>Bošnjak, Roman</creatorcontrib><title>Cortical potentials after electrical intraneural stimulation of the optic nerve during orbital enucleation</title><title>Documenta ophthalmologica</title><addtitle>Doc Ophthalmol</addtitle><addtitle>Doc Ophthalmol</addtitle><description>Background The aim of this study was to present cortical potentials after electrical intraneural stimulation of the optic nerve during orbital enucleation due to malignant melanoma of the choroid or the ciliary body. 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Beltram, Matej ; Olup, Brigita Drnovšek ; Bošnjak, Roman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-be102642228dfe22d29dc7c5b40e528fca3191977650d94ae8fbb9afea22c1e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia, Intravenous</topic><topic>Electric Stimulation</topic><topic>Electrodes</topic><topic>Evoked Potentials, Visual - physiology</topic><topic>Eye Enucleation</topic><topic>Female</topic><topic>Fluorescein Angiography</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Melanoma - pathology</topic><topic>Melanoma - surgery</topic><topic>Middle Aged</topic><topic>Neurosurgical Procedures</topic><topic>Ophthalmology</topic><topic>Optic Nerve - physiology</topic><topic>Original Research Article</topic><topic>Ultrasonography, Doppler</topic><topic>Uveal Neoplasms - pathology</topic><topic>Uveal Neoplasms - surgery</topic><topic>Visual Cortex - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benedičič, Mitja</creatorcontrib><creatorcontrib>Beltram, Matej</creatorcontrib><creatorcontrib>Olup, Brigita Drnovšek</creatorcontrib><creatorcontrib>Bošnjak, Roman</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; 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These cortical potentials were related to cortical potentials after electrical epidural stimulation of the optic nerve, recorded during non-manipulative phases of neurosurgery for central skull base tumors. Methods Cortical potentials were recorded with surface occipital electrode (Oz) in six patients undergoing orbital enucleation under total intravenous anesthesia. Two thin needle stimulating electrodes were inserted inside the intraorbital part of the optic nerve. The electrical stimulus consisted of a rectangular current pulse of varying intensity (0.2–10.0 mA) and duration (0.1–0.3 ms); the stimulation rate was 2 Hz; the bandpass filter was 1–1,000 Hz; the analysis time was 50–300 ms. Results Cortical potentials could not be obtained or were inconsistently elicitable in three patients with longstanding history (&gt;3 months) of severe visual deterioration, while they consisted of several positive and negative deflections in a patient with a short history of mild visual impairment. In two other patients, cortical potentials consisted of N20, P30 and N40 waves. Discussion Cortical potentials after electrical intraneural stimulation of the optic nerve could be recorded in patients with a short history of visual deterioration and without optic nerve atrophy and appear more heterogeneous than cortical potentials after electrical epidural stimulation of the optic nerve, recorded during non-manipulative phases of neurosurgery for central skull base tumors.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22890849</pmid><doi>10.1007/s10633-012-9346-x</doi><tpages>8</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Anesthesia, Intravenous
Electric Stimulation
Electrodes
Evoked Potentials, Visual - physiology
Eye Enucleation
Female
Fluorescein Angiography
Humans
Male
Medicine
Medicine & Public Health
Melanoma - pathology
Melanoma - surgery
Middle Aged
Neurosurgical Procedures
Ophthalmology
Optic Nerve - physiology
Original Research Article
Ultrasonography, Doppler
Uveal Neoplasms - pathology
Uveal Neoplasms - surgery
Visual Cortex - physiology
title Cortical potentials after electrical intraneural stimulation of the optic nerve during orbital enucleation
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