Effect of intraoperation visual evoked potential monitoring in visual pathway surgery_West China Medical Journal

Authors：

XIONG Ziyu ,  SHI Changbin

Department of Neurosurgery, the First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, P. R. China;

Corresponding author：

SHI Changbin, Email: changbins@gmail.com

Keywords：

Visual evoked potential; neurophysiology; visual pathway; intraoperation electrophysiological monitoring

DOI：

10.7507/1002-0179.202002141

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Visual evoked potential (VEP) is a commonly used technique in neurology and ophthalmology in the process of disease diagnosis and treatment, which refers to the electrical signal transmitted by the visual pathway and recorded in the skull or cortex after stimulating the retina. The effect of monitoring and protection of vision in surgery near the visual pathway has attracted more and more attention recently. This article summarizes the experience and problems of intraoperative monitoring of VEP in terms of anesthesiology and instrument development, monitoring technology, and application innovation, and proposes future research directions. The purpose is to provide a reference for clinical application and research of intraoperative VEP monitoring.

Citation： XIONG Ziyu, SHI Changbin. Effect of intraoperation visual evoked potential monitoring in visual pathway surgery. West China Medical Journal, 2022, 37(2): 301-305. doi: 10.7507/1002-0179.202002141 Copy

1.	Cedzich C, Schramm J, Fahlbusch R. Are flash-evoked visual potentials useful for intraoperative monitoring of visual pathway function?. Neurosurgery, 1987, 21(5): 709-715.
2.	Wiedemayer H, Fauser B, Armbruster W, et al. Visual evoked potentials for intraoperative neurophysiologic monitoring using total intravenous anesthesia. J Neurosurg Anesthesiol, 2003, 15(1): 19-24.
3.	Sasaki T, Itakura T, Suzuki K, et al. Intraoperative monitoring of visual evoked potential: introduction of a clinically useful method. J Neurosurg, 2010, 112(2): 273-284.
4.	Ota T, Kawai K, Kamada K, et al. Intraoperative monitoring of cortically recorded visual response for posterior visual pathway. J Neurosurg, 2010, 112(2): 285-294.
5.	王新法, 张岩松, 赵鹏来, 等. 应用视觉诱发电位术中监测视觉功能的研究. 临床神经外科杂志, 2012, 9(2): 94-96.
6.	Qiao N, Song M, Ye Z, et al. Deep learning for automatically visual evoked potential classification during surgical decompression of sellar region tumors. Transl Vis Sci Technol, 2019, 8(6): 21.
7.	Ogawa Y, Nakagawa A, Washio T, et al. Tissue dissection before direct manipulation to the pathology with pulsed laser-induced liquid jet system in skull base surgery-preservation of fine vessels and maintained optic nerve function. Acta Neurochir (Wien), 2013, 155(10): 1879-1886.
8.	Feng R, Schwartz J, Loewenstern J, et al. The predictive role of intraoperative visual evoked potentials in visual improvement after endoscopic pituitary tumor resection in large and complex tumors: description and validation of a method. World Neurosurg, 2019, 126: e136-e143.
9.	Robson AG, Nilsson J, Li S, et al. ISCEV guide to visual electrodiagnostic procedures. Doc Ophthalmol, 2018, 136(1): 1-26.
10.	Odom JV, Bach M, Brigell M, et al. ISCEV standard for clinical visual evoked potentials: (2016 update). Doc Ophthalmol, 2016, 133(1): 1-9.
11.	Hariharan P, Balzer JR, Anetakis K, et al. Electrophysiology of olfactory and optic nerve in outpatient and intraoperative settings. J Clin Neurophysiol, 2018, 35(4): 355-356.
12.	Chung SB, Park CW, Seo DW, et al. Intraoperative visual evoked potential has no association with postoperative visual outcomes in transsphenoidal surgery. Acta Neurochir (Wien), 2012, 154(8): 1505-1510.
13.	Uribe AA, Mendel E, Peters ZA, et al. Comparison of visual evoked potential monitoring during spine surgeries under total intravenous anesthesia versus balanced general anesthesia. Clin Neurophysiol, 2017, 128(10): 2006-2013.
14.	赵鹏来, 张岩松, 马骏, 等. 弥散张量纤维束成像和术中视觉诱发电位监测在视放射区病灶切除术中的应用. 临床神经病学杂志, 2009, 22(4): 268-270.
15.	李宏, 李景荣, 宋国祥. 颅眶沟通肿瘤的临床特征与手术治疗. 中国肿瘤临床与康复, 2008(1): 63-66.
16.	Toyama K, Wanibuchi M, Honma T, et al. Effectiveness of intraoperative visual evoked potential in avoiding visual deterioration during endonasal transsphenoidal surgery for pituitary tumors. Neurosurg Rev, 2020, 43(1): 177-183.
17.	Yoshino M, Hara T. Light axis adjustment with a sterilised photostimulation device for visually evoked potential monitoring. Br J Neurosurg, 2018, 32(3): 283-285.
18.	Soffin EM, Emerson RG, Cheng J, et al. A pilot study to record visual evoked potentials during prone spine surgery using the SightSaver™ photic visual stimulator. J Clin Monit Comput, 2018, 32(5): 889-895.
19.	Gutzwiller EM, Cabrilo I, Radovanovic I, et al. Intraoperative monitoring with visual evoked potentials for brain surgeries. J Neurosurg, 2018, 130(2): 654-660.
20.	Metwali H, Kniese K, Fahlbusch R. Intraoperative monitoring of the integrity of the anterior visual pathways: a methodologic review and meta-analysis. World Neurosurg, 2018, 110: 217-225.
21.	Sato A. Interpretation of the causes of instability of flash visual evoked potentials in intraoperative monitoring and proposal of a recording method for reliable functional monitoring of visual evoked potentials using a light-emitting device. J Neurosurg, 2016, 125(4): 888-897.
22.	Houlden DA, Turgeon CA, Amyot NS, et al. Intraoperative flash visual evoked potential recording and relationship to visual outcome. Can J Neurol Sci, 2019, 46(3): 295-302.
23.	Houlden DA, Turgeon CA, Polis T, et al. Intraoperative flash VEPs are reproducible in the presence of low amplitude EEG. J Clin Monit Comput, 2014, 28(3): 275-285.
24.	Luo Y, Regli L, Bozinov O, et al. Clinical utility and limitations of intraoperative monitoring of visual evoked potentials. PLoS One, 2015, 10(3): e0120525.
25.	Kurozumi K, Kameda M, Ishida J, et al. Simultaneous combination of electromagnetic navigation with visual evoked potential in endoscopic transsphenoidal surgery: clinical experience and technical considerations. Acta Neurochir (Wien), 2017, 159(6): 1043-1048.
26.	Saito T, Tamura M, Chernov MF, et al. Neurophysiological monitoring and awake craniotomy for resection of intracranial gliomas. Prog Neurol Surg, 2018, 30: 117-158.
27.	Shahar T, Korn A, Barkay G, et al. Elaborate mapping of the posterior visual pathway in awake craniotomy. J Neurosurg, 2018, 128(5): 1503-1511.
28.	Qerama E, Korshoej AR, Petersen MV, et al. Latency-shift of intra-operative visual evoked potential predicts reversible homonymous hemianopia after intra-ventricular meningioma surgery. Clin Neurophysiol Pract, 2019, 4: 224-229.
29.	Nishimura F, Wajima D, Park YS, et al. Efficacy of the visual evoked potential monitoring in endoscopic transnasal transsphenoidal surgery as a real-time visual function. Neurol India, 2018, 66(4): 1075-1080.
30.	Kikuta K, Kitai R, Kodera T, et al. Predictive factors for the occurrence of visual and ischemic complications after open surgery for paraclinoid aneurysms of the internal carotid artery. Acta Neurochir Suppl, 2016, 123: 41-49.

1. Cedzich C, Schramm J, Fahlbusch R. Are flash-evoked visual potentials useful for intraoperative monitoring of visual pathway function?. Neurosurgery, 1987, 21(5): 709-715.
2. Wiedemayer H, Fauser B, Armbruster W, et al. Visual evoked potentials for intraoperative neurophysiologic monitoring using total intravenous anesthesia. J Neurosurg Anesthesiol, 2003, 15(1): 19-24.
3. Sasaki T, Itakura T, Suzuki K, et al. Intraoperative monitoring of visual evoked potential: introduction of a clinically useful method. J Neurosurg, 2010, 112(2): 273-284.
4. Ota T, Kawai K, Kamada K, et al. Intraoperative monitoring of cortically recorded visual response for posterior visual pathway. J Neurosurg, 2010, 112(2): 285-294.
5. 王新法, 张岩松, 赵鹏来, 等. 应用视觉诱发电位术中监测视觉功能的研究. 临床神经外科杂志, 2012, 9(2): 94-96.
6. Qiao N, Song M, Ye Z, et al. Deep learning for automatically visual evoked potential classification during surgical decompression of sellar region tumors. Transl Vis Sci Technol, 2019, 8(6): 21.
7. Ogawa Y, Nakagawa A, Washio T, et al. Tissue dissection before direct manipulation to the pathology with pulsed laser-induced liquid jet system in skull base surgery-preservation of fine vessels and maintained optic nerve function. Acta Neurochir (Wien), 2013, 155(10): 1879-1886.
8. Feng R, Schwartz J, Loewenstern J, et al. The predictive role of intraoperative visual evoked potentials in visual improvement after endoscopic pituitary tumor resection in large and complex tumors: description and validation of a method. World Neurosurg, 2019, 126: e136-e143.
9. Robson AG, Nilsson J, Li S, et al. ISCEV guide to visual electrodiagnostic procedures. Doc Ophthalmol, 2018, 136(1): 1-26.
10. Odom JV, Bach M, Brigell M, et al. ISCEV standard for clinical visual evoked potentials: (2016 update). Doc Ophthalmol, 2016, 133(1): 1-9.
11. Hariharan P, Balzer JR, Anetakis K, et al. Electrophysiology of olfactory and optic nerve in outpatient and intraoperative settings. J Clin Neurophysiol, 2018, 35(4): 355-356.
12. Chung SB, Park CW, Seo DW, et al. Intraoperative visual evoked potential has no association with postoperative visual outcomes in transsphenoidal surgery. Acta Neurochir (Wien), 2012, 154(8): 1505-1510.
13. Uribe AA, Mendel E, Peters ZA, et al. Comparison of visual evoked potential monitoring during spine surgeries under total intravenous anesthesia versus balanced general anesthesia. Clin Neurophysiol, 2017, 128(10): 2006-2013.
14. 赵鹏来, 张岩松, 马骏, 等. 弥散张量纤维束成像和术中视觉诱发电位监测在视放射区病灶切除术中的应用. 临床神经病学杂志, 2009, 22(4): 268-270.
15. 李宏, 李景荣, 宋国祥. 颅眶沟通肿瘤的临床特征与手术治疗. 中国肿瘤临床与康复, 2008(1): 63-66.
16. Toyama K, Wanibuchi M, Honma T, et al. Effectiveness of intraoperative visual evoked potential in avoiding visual deterioration during endonasal transsphenoidal surgery for pituitary tumors. Neurosurg Rev, 2020, 43(1): 177-183.
17. Yoshino M, Hara T. Light axis adjustment with a sterilised photostimulation device for visually evoked potential monitoring. Br J Neurosurg, 2018, 32(3): 283-285.
18. Soffin EM, Emerson RG, Cheng J, et al. A pilot study to record visual evoked potentials during prone spine surgery using the SightSaver™ photic visual stimulator. J Clin Monit Comput, 2018, 32(5): 889-895.
19. Gutzwiller EM, Cabrilo I, Radovanovic I, et al. Intraoperative monitoring with visual evoked potentials for brain surgeries. J Neurosurg, 2018, 130(2): 654-660.
20. Metwali H, Kniese K, Fahlbusch R. Intraoperative monitoring of the integrity of the anterior visual pathways: a methodologic review and meta-analysis. World Neurosurg, 2018, 110: 217-225.
21. Sato A. Interpretation of the causes of instability of flash visual evoked potentials in intraoperative monitoring and proposal of a recording method for reliable functional monitoring of visual evoked potentials using a light-emitting device. J Neurosurg, 2016, 125(4): 888-897.
22. Houlden DA, Turgeon CA, Amyot NS, et al. Intraoperative flash visual evoked potential recording and relationship to visual outcome. Can J Neurol Sci, 2019, 46(3): 295-302.
23. Houlden DA, Turgeon CA, Polis T, et al. Intraoperative flash VEPs are reproducible in the presence of low amplitude EEG. J Clin Monit Comput, 2014, 28(3): 275-285.
24. Luo Y, Regli L, Bozinov O, et al. Clinical utility and limitations of intraoperative monitoring of visual evoked potentials. PLoS One, 2015, 10(3): e0120525.
25. Kurozumi K, Kameda M, Ishida J, et al. Simultaneous combination of electromagnetic navigation with visual evoked potential in endoscopic transsphenoidal surgery: clinical experience and technical considerations. Acta Neurochir (Wien), 2017, 159(6): 1043-1048.
26. Saito T, Tamura M, Chernov MF, et al. Neurophysiological monitoring and awake craniotomy for resection of intracranial gliomas. Prog Neurol Surg, 2018, 30: 117-158.
27. Shahar T, Korn A, Barkay G, et al. Elaborate mapping of the posterior visual pathway in awake craniotomy. J Neurosurg, 2018, 128(5): 1503-1511.
28. Qerama E, Korshoej AR, Petersen MV, et al. Latency-shift of intra-operative visual evoked potential predicts reversible homonymous hemianopia after intra-ventricular meningioma surgery. Clin Neurophysiol Pract, 2019, 4: 224-229.
29. Nishimura F, Wajima D, Park YS, et al. Efficacy of the visual evoked potential monitoring in endoscopic transnasal transsphenoidal surgery as a real-time visual function. Neurol India, 2018, 66(4): 1075-1080.
30. Kikuta K, Kitai R, Kodera T, et al. Predictive factors for the occurrence of visual and ischemic complications after open surgery for paraclinoid aneurysms of the internal carotid artery. Acta Neurochir Suppl, 2016, 123: 41-49.

Previous Article
New progress in anesthesia for day surgery
Next Article
Research progress on signaling pathways related to pulmonary metastasis of osteosarcoma

West China Medical Journal

Effect of intraoperation visual evoked potential monitoring in visual pathway surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content