{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:38:56Z","timestamp":1787071136804,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>Neurophysiological monitoring assesses the functional integrity of the brainstem by using monitoring and mapping techniques. We report an operated case of a pontomedullary lesion in a patient who developed central hypoventilation postoperatively. The intraoperative use of neurophysiological and cardiovascular monitoring was unable to predict\/prevent this hypoventilation. We describe the inherent limitations of monitoring the respiratory system, including spontaneous respiration. Moreover, we suggest the novel application of diaphragmatic motor evoked potential for real-time monitoring of respiratory pathways during brainstem surgeries.<\/jats:p>","DOI":"10.4103\/0028-3886.359166","type":"journal-article","created":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T03:31:47Z","timestamp":1667273507000},"page":"2130-2131","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Central Hypoventilation Following Pontomedullary Tumor Decompression \u2013 Is Routine Brainstem Monitoring Adequate?"],"prefix":"10.4103","volume":"70","author":[{"given":"Amit","family":"Goyal","sequence":"first","affiliation":[{"name":"Department of Neuroanaesthesia and Critical Care, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharath","family":"Srinivasaiah","sequence":"additional","affiliation":[{"name":"Department of Neuroanaesthesia and Critical Care, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathangi K","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Neuroanaesthesia and Critical Care, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumari","family":"Pallavi","sequence":"additional","affiliation":[{"name":"Department of Neuroanaesthesia and Critical Care, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10,20]]},"reference":[{"key":"R1-20250926","doi-asserted-by":"crossref","first-page":"262","DOI":"10.3988\/jcn.2016.12.3.262","article-title":"Intraoperative monitoring and mapping of the functional integrity of the brainstem","volume":"12","author":"Deletis","year":"2016","journal-title":"J Clin Neurol"},{"key":"R2-20250926","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1378\/chest.118.1.266","article-title":"Alveolar hypoventilation syndrome in brainstem glioma with improvement after surgical resection","volume":"118","author":"Hui","year":"2000","journal-title":"Chest"},{"key":"R3-20250926","doi-asserted-by":"crossref","first-page":"925","DOI":"10.2169\/internalmedicine.48.1804","article-title":"Central alveolar hypoventilation syndrome due to surgical resection for bulbar hemangioblastoma","volume":"48","author":"Matsuyama","year":"2009","journal-title":"Intern Med"},{"key":"R4-20250926","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1097\/00008506-199501000-00013","article-title":"Spontaneous ventilation is a useful monitor of brain stem function during posterior fossa surgery","volume":"7","author":"Manninen","year":"1995","journal-title":"J Neurosurg Anesthesiol"},{"key":"R5-20250926","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1097\/WNP.0000000000000608","article-title":"Electrophysiological properties of the human diaphragm assessed by magnetic phrenic nerve stimulation: Normal values and theoretical considerations in healthy adults","volume":"36","author":"Spiesshoefer","year":"2019","journal-title":"J Clin Neurophysiol"},{"key":"R6-20250926","doi-asserted-by":"crossref","first-page":"1354","DOI":"10.4103\/0028-3886.329530","article-title":"Unilateral External Anal Sphincter MEP Monitoring in a Case of Conus Medullaris Tumor","volume":"69","author":"Manohar","year":"2021","journal-title":"Neurol India"},{"key":"R7-20250926","doi-asserted-by":"crossref","first-page":"407","DOI":"10.4103\/0028-3886.284352","article-title":"Intraoperative electrophysiology in children - Single institute experience of 96 examinations","volume":"68","author":"Fekete","year":"2020","journal-title":"Neurol India"},{"key":"R8-20250926","doi-asserted-by":"crossref","first-page":"304","DOI":"10.4103\/0028-3886.314528","article-title":"Removal of Perirolandic Cavernoma with Direct Cortical Stimulation and Neuronavigation with DTI","volume":"69","author":"Yeole","year":"2021","journal-title":"Neurol India"}],"container-title":["Neurology India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.359166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:42:01Z","timestamp":1787067721000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.359166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/0028-3886.359166","relation":{},"ISSN":["0028-3886","1998-4022"],"issn-type":[{"value":"0028-3886","type":"print"},{"value":"1998-4022","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9]]},"assertion":[{"value":"2020-08-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}