{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:16:19Z","timestamp":1740176179316,"version":"3.37.3"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>During epilepsy surgery, it is equally important to record electrocorticography (ECoG) for detecting epileptogenic activity and guiding brain resection, and to evaluate neuromonitoring data, particularly motor evoked potentials (MEP), for avoidance of postoperative neurological complications. However, sevoflurane, which is commonly used during recording of ECoG, may attenuate the MEP response. It enforces anesthesiologists and neurosurgeons to select one anesthetic agent over another, facilitating either ECoG or MEP monitoring.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>In the presented case of a 20-year-old man, who underwent surgery for temporal lobe epilepsy, a novel technique of neuroanesthesia was introduced, integrating initial induction of the total intravenous anesthesia (TIVA) with propofol (effect-site concentration, 2.3\u20133.0 \u03bcg\/ml), its subsequent switching to sevoflurane (end-tidal concentration, 2.5%) for ECoG recording, and further change back to TIVA for MEP monitoring during brain resection.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Intraoperative switch of anesthetic agents according to specific intraoperative requirements may be useful for cases of brain surgery requiring both ECoG recordings and MEP monitoring.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40981-024-00740-1","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T12:01:52Z","timestamp":1726747312000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Novel technique of switching TIVA and sevoflurane during epilepsy surgery for combined intraoperative motor evoked potentials monitoring and electrocorticography: an illustrative case report"],"prefix":"10.1186","volume":"10","author":[{"given":"Yoko","family":"Mukoyama","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junko","family":"Ichikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makiko","family":"Komori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuharu","family":"Kodaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suguru","family":"Yokosako","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6487-2065","authenticated-orcid":false,"given":"Yuichi","family":"Kubota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"740_CR1","doi-asserted-by":"publisher","first-page":"829","DOI":"10.1111\/epi.12633","volume":"55","author":"JF T\u00e9llez-Zenteno","year":"2014","unstructured":"T\u00e9llez-Zenteno JF, Hern\u00e1ndez-Ronquillo L, Buckley S, Zahagun R, Rizvi S. A validation of the new definition of drug-resistant epilepsy by the International League Against Epilepsy. Epilepsia. 2014;55:829\u201334.","journal-title":"Epilepsia"},{"key":"740_CR2","doi-asserted-by":"publisher","first-page":"S243","DOI":"10.1016\/0924-980X(95)93350-3","volume":"97","author":"H Nakayama","year":"1995","unstructured":"Nakayama H, Maehara T, Nagata O, Harikae Y, Shimizu H. Effects of sevoflurane on electrocorticogram in epileptic patients (abstract). Electroencephalography and Clinical Neurophysiology \/ Electromyography and Motor Control. 1995;97:S243.","journal-title":"Electroencephalography and Clinical Neurophysiology \/ Electromyography and Motor Control"},{"key":"740_CR3","doi-asserted-by":"publisher","first-page":"442","DOI":"10.2176\/nmc.oa.2018-0122","volume":"58","author":"S Maesawa","year":"2018","unstructured":"Maesawa S, Nakatsubo D, Fujii M, Iijima K, Kato S, Ishizaki T, et al. Application of awake surgery for epilepsy in clinical practice. Neurol Med Chir (Tokyo). 2018;58:442\u201352.","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"740_CR4","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1684\/epd.2021.1275","volume":"23","author":"GH Korkar","year":"2021","unstructured":"Korkar GH, Isnard J, Montavont A, Catenoix H, Rheims S, Gu\u00e9not M. Awake craniotomy for epilepsy surgery on eloquent speech areas: a single-centre experience. Epileptic Disord. 2021;23:347\u201356.","journal-title":"Epileptic Disord"},{"key":"740_CR5","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1213\/01.ANE.0000158606.31021.1F","volume":"101","author":"N Kurita","year":"2005","unstructured":"Kurita N, Kawaguchi M, Hoshida T, Nakase H, Sakaki T, Furuya H. The effects of sevoflurane and hyperventilation on electrocorticogram spike activity in patients with refractory epilepsy. Anesth Analg. 2005;101:517\u201323.","journal-title":"Anesth Analg"},{"key":"740_CR6","first-page":"555","volume":"42","author":"S Kanazawa","year":"2018","unstructured":"Kanazawa S, Oda Y. Inhaled anesthetics and EEG. Journal of Clinical Anesthesia (Japan). 2018;42:555\u201363 (in Japanese).","journal-title":"Journal of Clinical Anesthesia (Japan)"},{"key":"740_CR7","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1213\/00000539-199402000-00013","volume":"78","author":"ZY Ebrahim","year":"1994","unstructured":"Ebrahim ZY, Schubert A, Van Ness P, Wolgamuth B, Awad I. The effect of propofol on the electroencephalogram of patients with epilepsy. Anesth Analg. 1994;78:275\u20139.","journal-title":"Anesth Analg"},{"key":"740_CR8","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1093\/bja\/aeg241","volume":"91","author":"G McGuire","year":"2003","unstructured":"McGuire G, El-Beheiry H, Manninen P, Lozano A, Wennberg R. Activation of electrocorticographic activity with remifentanil and alfentanil during neurosurgical excision of epileptogenic focus. Br J Anaesth. 2003;91:651\u20135.","journal-title":"Br J Anaesth"},{"key":"740_CR9","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1097\/ANA.0000000000000041","volume":"26","author":"CT Chong","year":"2014","unstructured":"Chong CT, Manninen P, Sivanaser V, Subramanyam R, Lu N, Venkatraghavan L. Direct comparison of the effect of desflurane and sevoflurane on intraoperative motor-evoked potentials monitoring. J Neurosurg Anesthesiol. 2014;26:306\u201312.","journal-title":"J Neurosurg Anesthesiol"},{"key":"740_CR10","doi-asserted-by":"publisher","first-page":"733","DOI":"10.1093\/bja\/aeq081","volume":"104","author":"JC Diz","year":"2010","unstructured":"Diz JC, Del R\u00edo R, Lamas A, Mendoza M, Dur\u00e1n M, Ferreira LM. Analysis of pharmacodynamic interaction of sevoflurane and propofol on bispectral index during general anaesthesia using a response surface model. Br J Anaesth. 2010;104:733\u20139.","journal-title":"Br J Anaesth"},{"key":"740_CR11","doi-asserted-by":"publisher","first-page":"704","DOI":"10.1016\/j.bja.2021.07.021","volume":"127","author":"LA Evered","year":"2021","unstructured":"Evered LA, Chan MTV, Han R, Chu MHM, Cheng BP, Scott DA, et al. Anaesthetic depth and delirium after major surgery: a randomised clinical trial. Br J Anaesth. 2021;127:704\u201312.","journal-title":"Br J Anaesth"},{"key":"740_CR12","first-page":"600","volume":"55","author":"K Fukamachi","year":"2006","unstructured":"Fukamachi K, Kurata J, Ozaki M. Anesthetic management of corpus callosotomy with electrophysiological monitoring: a case report. Masui. 2006;55:600\u20132(in Japanese).","journal-title":"Masui"}],"container-title":["JA Clinical Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-024-00740-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40981-024-00740-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-024-00740-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T12:09:04Z","timestamp":1726747744000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaclinicalreports.springeropen.com\/articles\/10.1186\/s40981-024-00740-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,19]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["740"],"URL":"https:\/\/doi.org\/10.1186\/s40981-024-00740-1","relation":{},"ISSN":["2363-9024"],"issn-type":[{"type":"electronic","value":"2363-9024"}],"subject":[],"published":{"date-parts":[[2024,9,19]]},"assertion":[{"value":"3 July 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 August 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 September 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 September 2024","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"No IRB approval is requested by the authors\u2019 institution for the publication of case reports.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The mother of the described patient provided informed consent for this publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"59"}}