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Neurodiagnostics
Question | Answer |
---|---|
SSEP monitoring during surgery was uneventful but the patient ended up with paralysis. This could occur because SSEP does not reflect | anterior spinal cord function |
Which medication can be used for SSEP monitoring but not for MEP? | pancuronium bromide |
A single electrical stimulus applied to the motor cortex during transcranial electrical stimulation produces D waves | In the pyramidal axons |
The incidence of stroke after elective shunting for a CEA surgery is what percent? | Less than 1% |
What SSEP potentials are most resistant to anesthesia? | P14, P31 |
What is the interstimulus interval during TcMEP? | Typically set between 1 ms and 4 ms. |
For SSEP monitoring, P14 and N18 originate from | Brainstem |
An EEG pattern similar to FIRDA cannot be seen in | The addition of nitrous oxide to isoflurane |
True or False: Widespread slow waves can be seen in therapeutic hypothermia. | False |
True or False: Halothane causes EEG suppression. | False. Suppression is seen only at high doses. |
EEG abnormalities can be __________ or _________ during anesthesia. | obscured or unmasked |
Rhythmic jerking of one arm comes from what lobe? | Frontal |
True or False: Rhythmic jerking of one arm is contralateral to the cortical focus. | True |
Seeing flashes of light is associated with which brain lobe? | Occipital |
What medication types are important for ECI (electrocerebral inactivity) recording documentation? | Sedatives, barbiturates, narcotics. |
How would a tech test the integrity of electrodes? | Touch electrodes separately and indicate a tech is touching them to see if there is a response on the EEG. |
This neurological syndrome happens with damage to the pons. The patient is awake, conscious but unable to speak and can move only their eyes. | Locked-in syndrome |
Blood supply to the entire brain relies on two artery sets, what are they called? | vertebral artery and common carotid artery. |
A sudden disturbance of blood flow to the eyes causing temporary loss of vision is called | amaurosis fugax |
What EEG pattern indicates intracranial hemorrhage? | Alpha coma |