%0 Case Reports
%T Intraoperative neurophysiologic monitoring (IONM) changes associated with a case of delayed thalamic infarct: Implications for postoperative management.
%A Ghavami F
%A Choudhri O
%A Marks M
%A López JR
%J J Clin Neurosci
%V 47
%N 0
%D Jan 2018
%M 29066230
%F 2.116
%R 10.1016/j.jocn.2017.10.035
%X Treatment of cerebral aneurysms poses a risk of cerebral hemorrhage and/or ischemia; these potential sequelae are usually associated with changes in intraoperative neurophysiologic monitoring (IONM) modalities. Our case demonstrates a patient with significant changes in IONM during the treatment of a right posterior cerebral artery aneurysm who did not develop neurologic deficits until three days postoperatively. IONM changes can represent a guide in postoperative patient management and may pose grounds for closer monitoring of patients with IONM changes that do not develop immediate postoperative deficits.