title: Ultrasonographic and electrophysiological adjuncts to surgery within the brain stem: technical note.
abstract: The surgical approach to intrinsic lesions within the brain stem is undertaken by the surgeon knowing the potential for significant operative morbidity. We report the use of real-time intraoperative ultrasound and electrophysiological mapping techniques to aid in the localization and resection of an intrinsic brain-stem tumor in a child. These techniques permitted an aggressive surgical approach without encountering adverse postoperative neurological sequelae.
authors.affiliation: Division of Neurological Surgery, University of Rochester Medical Center, New York.
authors.forename: W G
authors.initials: WG
authors.lastname: Rusyniak
authors.forename: P D
authors.initials: PD
authors.lastname: Ireland
authors.forename: M G
authors.initials: MG
authors.lastname: Radley
authors.forename: W H
authors.initials: WH
authors.lastname: Pilcher
authors.forename: S H
authors.initials: SH
authors.lastname: Okawara
mesh_terms: D001931:Brain Mapping / Q000295:instrumentation*; D001933:Brain Stem / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D002551:Cerebral Ventricle Neoplasms / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D002675:Child, Preschool; D003391:Cranial Nerves / Q000503:physiopathology; D004453:Echoencephalography / Q000295:instrumentation*; D004558:Electric Stimulation / Q000295:instrumentation; D004576:Electromyography / Q000295:instrumentation*; D005152:Facial Muscles / Q000294:innervation; D005260:Female; D005910:Glioma / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D016343:Monitoring, Intraoperative / Q000295:instrumentation*; D011183:Postoperative Complications / Q000503:physiopathology