Summary
Neurophysiological examinations of brainstem functions before, during and after selective interventional neuroradiology i.e. selective intra-arterial thrombolytic therapy of an acute occlusion of the basilar artery are reported. The success of the therapy was demonstrated by the reappearance of normal somatosensory potentials and of the blink reflex immediately after the thrombolysis. The BAEPs were continuously recorded during the thrombolysis. Normalization of the latencies and of the interpeak latencies at a very early stage of the therapy indicated the improvement of brainstem functions.
Zusammenfassung
Neurophysiologische Untersuchungs- und Über-wachungsmethoden der Hirnstammfunktionen vor, während und nach selektiver Katheterangiographie i.V., selektive intraarterielle Thrombolyse-therapie eines akuten Arteria basilaris-Verschlusses werden dargestellt. Der Erfolg der Therapie wurde anhand des Wiederauftretens normaler somato-sensorischer Potentiale und aller Blinkreflex-Komponenten unmittelbar nach der Thrombolyse demonstriert. Die akustischen Hirnstammpotentiale wurden kontinuierlich während der Therapie überwacht: In einem sehr frühen Stadium der Thrombolyse zeigt die Normalisierung der Latenzzeiten und der Transmissionszeit die Erholung der Hirnstammfunktion an.
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Hacke, W., Berg-Dammer, E. & Zeumer, H. Evoked potential monitoring during acute occlusion of the basilar artery and selective local thrombolytic therapy. Arch Psychiatr Nervenkr 232, 541–548 (1982). https://doi.org/10.1007/BF00344069
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DOI: https://doi.org/10.1007/BF00344069