S. Horsch et K. Ktenidis, INTRAOPERATIVE USE OF SOMATOSENSORY-EVOKED POTENTIALS FOR BRAIN MONITORING DURING CAROTID SURGERY, Neurosurgery clinics of North America, 7(4), 1996, pp. 693
Somatosensory evoked potentials (SSEP) are a valuable clinical tool in
the operating theater. Multichannel SSEP monitoring is an objective m
easure of CBF and cerebral function. The monitoring of the SSEP during
carotid surgery is a simple and reliable method of determining the ef
fect of carotid clamping on CBF and the need for shunting. The diagnos
is sensitivity and specificity of intraoperative SSEP monitoring for a
ssessing the neurologic outcome of patients are over 95%. At least 16.
1% of cases required shunt placement using SSEP monitoring.