Predictive value of facial nerve electrophysiologic stimulation thresholds in cerebellopontine-angle surgery. Academic Article uri icon

Overview

abstract

  • The predictive value of intraoperative stimulation thresholds for facial nerve function, using a constant-current system, was examined in 49 patients undergoing resection of cerebellopontine-angle tumors. Immediately after surgery, 75% of the 0.1-mA threshold group, 42% of the 0.2-mA group, and 18% of the 0.3-mA or greater group had good (grade I or II) facial nerve function. One year after surgery, 90% of the 0.1-mA group, 58% of the 0.2-mA group, and 41% of the 0.3-mA or greater group had grade I or II function. A statistically significant breakpoint of 0.2 mA was found to predict good postoperative facial function. Delayed facial paralysis occurred in 22% of patients, but the prognosis for these patients was favorable. Both current stimulation threshold and duration are necessary for a meaningful comparison of data between investigators.

publication date

  • May 1, 1996

Research

keywords

  • Cerebellar Neoplasms
  • Cerebellopontine Angle
  • Facial Nerve
  • Meningioma
  • Monitoring, Intraoperative
  • Neuroma, Acoustic

Identity

Scopus Document Identifier

  • 0029929497

PubMed ID

  • 8628095

Additional Document Info

volume

  • 106

issue

  • 5 Pt 1