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Visual evoked potentials in endoscopic and anterior skull base surgery: a review

Published online by Cambridge University Press:  29 June 2007

N. S. Jones*
Affiliation:
Department of Otorhinolaryngology, Queen's Medical Centre, University Hospital, Nottingham, UK.
*
Address for correspondence: Department of Otorhinolaryngology, Head and Neck Surgery, Queen's Medical Centre, University Hospital, Nottingham NG7 2UH.

Abstract

The anterior visual pathway can be damaged during surgery of the anterior skull base, the sellar and parasellar area, the orbit, or the paranasal sinuses. Clinical per-operative monitoring of the visual pathway is difficult and damage to the optic nerve is oftenonly determined late. Visual evoked potentials may provide an early indication of reversible change to the visual system and various per-operative monitoring techniques have been used. These techniques show promise but at present they are too cumbersome and give results whichare too variable to be reliable in per-operative monitoring.

Type
Review Article
Copyright
Copyright © JLO (1984) Limited 1997

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References

Akabane, A., Saito, K., Suzuki, Y., Shibuya, M., Sugita, K. (1995) Monitoring visual evoked potentials during retraction of the canine optic nerve: protective effect of unroofing the optic canal. Journal of Neurosurgery 82 (2): 284287.CrossRefGoogle ScholarPubMed
Allen, A., Starr, A., Nudelman, K. (1981) Assessment of sensory function in the operating room utilising cerebral evoked potentials: a study of fifty-six surgically anaesthetised patients. Clinical Neurosurgery 28: 457481.CrossRefGoogle Scholar
Cedzich, C., Schramm, J., Fahlbusch, R. (1987) Are flash evoked potentials useful for intraoperative monitoring of visual pathway function. Neurosurgery 21: 709715.CrossRefGoogle ScholarPubMed
Cedzich, C., Schramm, J., Mengedoht, C. F., Fahlbusch, R. (1988) Factors that limit the use of flash visual evoked potentials for surgical monitoring. Electroencephalography and Clinical Neurophysiology 71: 142145.CrossRefGoogle ScholarPubMed
De Silva, I. C. E., Wang, A. D., Symon, L. (1985) The application of visual evoked potentials during operations on the anterior visual pathways. Neurological Research 7: 1116.CrossRefGoogle Scholar
Fisher, R. S., Raudzens, P., Nunemacher, M. (1995) Efficacy of intraoperative neurophysiological monitoring. Journal of Clinical Neurophysiology 12(1): 97109.Google ScholarPubMed
Freedman, H. M., Kern, E. B. (1979) Complications of intranasal ethmoidectomy: a review of 1000 consecutivecases. Laryngoscope 89: 421434.CrossRefGoogle Scholar
Friedman, W. H., Katsantonis, G. P. (1990) Intranasal and transnasal ethmoidectomy: a 20 year experience. Laryngoscope 100: 343348.CrossRefGoogle Scholar
Gupta, S., Ghose, S., Rohatgi, M., Kumar, A., Das, A. (1993) The optic nerve in children with craniosynostosis. A pre and post surgical evaluation. Documenta Ophthalmologica 83 (4): 271278.CrossRefGoogle ScholarPubMed
Hahn, J. H., Latchaw, J. P. (1983) Evoked potentials in the operating room. Clinical Neurosurgery 31: 389403.CrossRefGoogle ScholarPubMed
Halliday, A. M., McDonald, W. I. (1981) Visual evoked potentials. In Clinical Neurophysiology Butterworths, London, pp 228253.Google Scholar
Harding, G. F. A., Bland, J. D. P., Smith, V. H. (1990) Visual evoked potential monitoring of opticnerve function during surgery. Journal of Neurology, Neurosurgery and Psychiatry 53: 890895.CrossRefGoogle Scholar
Harding, G. F. A., Smith, V. H., Yorke, H. C. (1986) Visual evoked potential monitoring of orbital surgery using a contact-lens stimulator. In Evoked Potentials Ill. Chapter 29. Butterworths, Boston, pp 240244.Google Scholar
Hayreh, S. S., Kolder, H. E., Weingest, T. A. (1980) Central retinal artery occlusion and retinal tolerance time. Ophthalmology 87: 7578.CrossRefGoogle ScholarPubMed
Herzon, G. D., Zealear, D. L. (1994) Intraoperative monitoring of the visual evoked potential during endoscopic sinus surgery. Otolaryngology – Head and Neck Surgery 111 (5): 575579.CrossRefGoogle ScholarPubMed
Hussain, S. S. M., Laljee, H. C. K., Horrocks, J. M., Grace, A.R. H. (1996) Monitoring of intra-operative visual evoked potentials during functional endoscopic sinus surgery (FESS) under general anaesthesia. Journal of Laryngology and Otology 110: 3136.CrossRefGoogle ScholarPubMed
Keyser, J. S., Diaz-Ordaz, E., Samson, M. J., Kartush, J. M. (1995) Use of intraoperative neuromonitoring to prevent orbital complications in ethmoid sinus surgery. Otolaryngology – Head and Neck Surgery 113 (1): 99103.CrossRefGoogle ScholarPubMed
Kuroiwa, Y., Celesia, G. G. (1981) Visual evoked potentials with hemifield pattern stimulation. Their use in the diagnosis of retrochiasmatic lesions. Archives of Neurology 38: 8690.CrossRefGoogle ScholarPubMed
Levine, H. L. (1990) Functional endoscopic sinus surgery: Evaluation, surgery and follow-up of 250 patients. Laryngoscope 100: 7984.CrossRefGoogle ScholarPubMed
Maniglia, A. J. (1989) Fatal and major complications secondary to nasal and sinus surgery. Laryngoscope 99: 276383.CrossRefGoogle ScholarPubMed
Raudzens, P. A. (1982) Intraoperative monitoring of evoked potentials. Annals of the New York Academy of Sciences 388: 308332.CrossRefGoogle ScholarPubMed
Sacks, S. H., Lawson, W., Edelstein, D., Green, R. P. (1988) Surgical treatment of blindness secondary to intraorbital haemorrhage. Archives of Otolaryngology – Head Neck Surgery 114: 801803.CrossRefGoogle Scholar
Schaefer, S. D., Manning, S., Close, L. G. (1989) Endoscopic paranasal sinus surgery: indications and considerations. Laryngoscope 99 (1):15.CrossRefGoogle ScholarPubMed
Sogg, A. (1989) Long-term results of ethmoidalsurgery. Annals of Otology, Rhinology and Laryngology 98: 699701.CrossRefGoogle Scholar
Stevens, H. E., Blair, N. J. (1988) Intranasal sphenoethmoidectomy: a 10 year experience and literature review. Journal of Otolaryngology 17: 254259.Google Scholar
Symon, L., Momma, F., Schwerdtfeger, P., Bentivoglio, P., Silva, C. E., Wang, A. (1986) Evoked potential monitoring in neurosurgical practice. Advances in Technical Standards in Neurosurgery 14: 2570.CrossRefGoogle ScholarPubMed
Taylor, J. S., Crocker, P. V., Keebler, J. S. (1982) Intranasal ethmoidectomy and current procedures. Laryngoscope 92: 739743.CrossRefGoogle Scholar
Taylor, M. J., McCulloch, D. L. (1992) Visual evoked potentials in infants and children. Journal of Clinical Neurophysiology 9 (3): 357372.CrossRefGoogle ScholarPubMed
Tsaloumas, M. D., Good, P. A., Burdon, M. A., Misson, G. P. (1994) Flash and pattern visualevoked potentials in the diagnosis and monitoring of dysthyroid opticneuropathy. Eye 8: 638645.CrossRefGoogle Scholar
Vleming, M., Middelweerd, R. J., de Vries, N. (1992) Complications of endoscopic sinus surgery. Archives of Otolaryngology – Head and Neck Surgery 118: 617623.CrossRefGoogle ScholarPubMed
Wigand, M. E., Housemann, W. (1989) Microsurgical treatment of recurrent nasal polyposis. Rhinology 8(Suppl.): 2530.Google ScholarPubMed
Wigand, M. E. (1990) Endoscopic surgery of theparanasal sinuses and anterior skull base. Georg Thieme Verlag, New York, Stuttgart, pp 1152.Google Scholar
Zaaroor, M., Pratt, H., Feinsod, M., Schacham, S. E. (1993) Real-time monitoring of visual evoked potentials. Israel Journal of Medical Sciences 29: 1722.Google ScholarPubMed