High False-Negative Rate of Intraoperative Neurophysiologic Monitoring in Blood Blister–Like Aneurysm Surgery: Insights from a Retrospective Case Series
Our results show that IONM has low sensitivity (37.5%) and high specificity (100%) in detecting ischemic events during BBA surgery. The high rate of false-negative results in BBA-IONM suggests that its predictive value is limited particularly in complex maneuvers such as trapping and advanced vasoreconstruction, warranting cautious interpretation and further investigation of IONM modalities for BBA management.
Authors
- Xiaofan Pang
- Lu Ma (ORCID: https://orcid.org/0000-0002-7866-3109)
- Yixuan Zong
- Fang Yuan (ORCID: https://orcid.org/0000-0002-4060-7830)
- Yue Hu (ORCID: https://orcid.org/0000-0001-5634-6674)
Institutions
- Sichuan University (CN)
- West China Hospital of Sichuan University (CN)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2024-12-10
- DOI
- https://doi.org/10.1016/j.wneu.2024.11.025
- Primary Topic
- Intraoperative Neuromonitoring and Anesthetic Effects
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Natural Science Foundation of China