Neurophysiological intraoperative monitoring of the glossopharyngeal nerve: technical case report.

Published

Journal Article

OBJECTIVE: Neurophysiological intraoperative monitoring of the glossopharyngeal nerve has been performed only with needle electrodes inserted into the pharyngeal muscles or soft palate. We describe a noninvasive method of monitoring this cranial nerve. METHODS: A 30-year-old man who presented with headache, as well as speech and swallowing difficulty, underwent surgical resection of a right vagus nerve schwannoma. Neurophysiological intraoperative monitoring of multiple lower cranial nerves, including the glossopharyngeal and vagus nerves, was performed. RESULTS: The glossopharyngeal nerve was monitored with an adhesive surface electrode mounted on the cuff of a laryngeal mask airway, and the vagus nerve was monitored with a similar electrode mounted on the endotracheal tube. Successful monitoring allowed separation of the glossopharyngeal nerve from the tumor, and there was no postoperative swallowing deficit. CONCLUSION: Monitoring of the glossopharyngeal nerve with surface electrodes is possible and reliable, but it must be combined with vagus nerve monitoring.

Full Text

Duke Authors

Cited Authors

  • Husain, AM; Wright, DR; Stolp, BW; Friedman, AH; Keifer, JC

Published Date

  • October 2008

Published In

Volume / Issue

  • 63 / 4 Suppl 2

Start / End Page

  • 277 - 278

PubMed ID

  • 18981820

Pubmed Central ID

  • 18981820

Electronic International Standard Serial Number (EISSN)

  • 1524-4040

Digital Object Identifier (DOI)

  • 10.1227/01.NEU.0000316425.21752.E2

Language

  • eng

Conference Location

  • United States