Preliminary Measurement of Intraoperative Sympathetic Nerve Activity Using Microneurography and Laser Doppler Flowmetry During Surgical Resection of Suprasellar Tumors

• KURIMOTO Futoshi

  Department of Neurosurgery, Nagoya Daini Red Cross Hospital

• SAITO Kiyoshi

  Department of Neurosurgery, Nagoya University Graduate School of Medicine

• WATANABE Tadashi

  Department of Neurosurgery, Nagoya Central Hospital

• NAGATANI Tetsuya

  Department of Neurosurgery, Nagoya University Graduate School of Medicine

• NISHIWAKI Kimitoshi

  Department of Anesthesiology, Nagoya University Graduate School of Medicine

• WAKABAYASHI Toshihiko

  Department of Neurosurgery, Nagoya University Graduate School of Medicine

• IWASE Satoshi

  Department of Autonomic Neuroscience, Aichi Medical University

抄録

Intraoperative microneurography (enabling direct measurement of sympathetic outflow) and laser Doppler flowmetry were used to measure skin sympathetic nerve activity (SSNA) and skin blood flow (SBF) as indicators of hypothalamic damage during resection of 12 suprasellar tumors, 6 craniopharyngiomas, 4 meningiomas, 1 pituitary adenoma, and 1 germ cell tumor. SSNA was measured from a tungsten microelectrode inserted into the peroneal nerve, and SBF was measured from the foot innervated by the peroneal nerve. SBF reduction was induced by nociceptive procedures and non-nociceptive procedures before tumor exposure, on exposed tumors, and directly on the hypothalamus. SSNA could be reliably recorded in only 4 patients because of technical difficulties. In these patients, SSNA bursts appeared, followed by SBF reduction. The number of SSNA bursts was 37% to 100% of the number of SBF reduction events. Various surgical procedures involving painful stimuli or mechanical stress on the hypothalamus induced SSNA bursts and SBF reduction. The present findings suggest that SSNA and SBF can be used to detect sympathetic nerve activity, as an indicator of hypothalamic function, during neurosurgical procedures.<br>

収録刊行物

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 49 (1), 13-21, 2009

  一般社団法人 日本脳神経外科学会

キーワード

• intraoperative monitoring
• laser Doppler flowmetry
• microneurography
• suprasellar tumor
• sympathetic nerve activity

詳細情報

• CRID: 1390001205053754880
• NII論文ID: 110007028646
• NII書誌ID: AN00358613
• DOI: 10.2176/nmc.49.13
• ISSN: 13498029
• ISSN: 04708105
• Web Site: http://www.jstage.jst.go.jp/article/nmc/49/1/49_1_13/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2009134831
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可