Table 2

Patients with electrophysiological changes and/or new postoperative neurological deficits

Patient ageAneurysm locationsEP changeTime from event to EP changeInterventionTime to resolutionNeurological change
34R superior hypophyseal, 5 mm60% decrease in SSEP4 minClip repositionedComplete resolution in 3 minutesNone
47L P-com, 6 mm60% decrease in SSEP5 minClip repositionedComplete resolution in 16 minutesNone
47R P-com, 15 mm100% decrease in SSEP10 minClip repositionedComplete resolution in 14 minutesNone
57R P-com, 3 mm; R ICA, 10mm; R MCA, 15 mm55% decrease in left SSEP; 39% decrease in right SSEP15 minIncreased MAPComplete resolution in 9 minutesNone
49L PICA, 10 mm50% decrease in SSEP5 minTemporary clip removedComplete resolution in 5 minutesNone
38R P-com, 18 mm; R ICA, 15 mm50% decrease in SSEP17 minIncreased MAPComplete resolution in 26 minutesNone
51A-com, 35 mm60% decrease in SSEP bilateral12 minIncreased MAPComplete resolution in 12 minutesNone
34L MCA, 7 mm70% decrease in SSEP5 minRetractor adjustedComplete resolution in 4 minutesNone
60% decrease in SSEP3 minClip repositionedComplete resolution in 3 minutes
48Basilar, 10 mm100% decrease in SSEP bilateral3 minIncreased MAP50% recovery in 52 minutes; persistent changeDead
60L MCA, 25 mm60% decrease in SSEP5 minTemporary clip removedComplete resolution in 10 minutesNone
48A-com, 22 mm65% decrease in SSEP (right)8 minTemporary clip removedComplete resolution in 18 minutesNone
57L vertebral, 20 mmDelayed left BAEP, waves III-V7 minTemporary clip removedPartial recovery in 5 minutes; complete recovery in 60 minutesNone
61R MCA, 7 mm; 3 R P1 segment aneurysms (2-3 mm)100% decrease in SSEP5 minClip repositionedComplete resolution in 59 minutesDead
100% decrease in SSEP32 minClip repositionedComplete resolution in 16 minutes
R BAEP waves delayed8 minIncreased MAPPersistent wave V delay (occured during closure)
47Vertebral-basilar junction, 10 mm50% decrease in SSEP (left)12 minIncreased MAPComplete resolution in 30 minutesNone
50% decrease in BAEP (right)8 minIncreased MAPComplete resolution in 16 minutes
  • All electrophysiological changes are cortical potentials and correspond to the same side of the brain as the aneurysm in question, except where indicated; SSEP=somatosensory evoked potential; BAEP=brainstem auditory evoked potential; EP=electrophysiological; R=right; L=left; MCA=middle cerebral artery; ICA= internal cerebral artery; P-com=posterior communicating artery; PICA=posterior inferior cerebral artery; A-com=anterior communicating artery.