Prediction of Post-operative Visual Deterioration Using Visual-Evoked Potential Latency in Extended Endoscopic Endonasal Resection of Craniopharyngiomas

Background: The current study aimed to investigate the predictive value of visual-evoked potential (VEP) latency for post-operative visual deterioration in patients undergoing craniopharyngioma resection via extended endoscopic endonasal approach (EEEA).Methods: Data from 90 patients who underwent c...

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Autores principales:	Xiaorong Tao, Xiaocui Yang, Xing Fan, Hao You, Yanwen Jin, Jiajia Liu, Dongze Guo, Chuzhong Li, Hui Qiao
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	craniopharyngioma extended endoscopic endonasal approach optic nerves visual evoked potential (VEP) post-operative visual deterioration Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2b1f80fe07164242b31a86d83091849c
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spelling	oai:doaj.org-article:2b1f80fe07164242b31a86d83091849c2021-12-03T05:30:48ZPrediction of Post-operative Visual Deterioration Using Visual-Evoked Potential Latency in Extended Endoscopic Endonasal Resection of Craniopharyngiomas1664-229510.3389/fneur.2021.753902https://doaj.org/article/2b1f80fe07164242b31a86d83091849c2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.753902/fullhttps://doaj.org/toc/1664-2295Background: The current study aimed to investigate the predictive value of visual-evoked potential (VEP) latency for post-operative visual deterioration in patients undergoing craniopharyngioma resection via extended endoscopic endonasal approach (EEEA).Methods: Data from 90 patients who underwent craniopharyngioma resection via EEEA with intraoperative VEP monitoring were retrospectively reviewed. P100 latency was compared between patients with and without post-operative visual deterioration, and the threshold value of P100 latency for predicting post-operative visual deterioration was calculated by the receiver operating characteristic curve analysis. In addition, other potential prognostic factors regarding post-operative visual outcomes were also analyzed by multivariate analysis.Results: Patients with post-operative visual deterioration showed a significantly longer VEP latency than those without (p < 0.001). An extension over 8.61% in VEP latency was identified as a predictor of post-operative visual deterioration (p < 0.001). By contrast, longer preoperative visual impairment duration and larger tumor volume were not significant predictors for post-operative visual deterioration.Conclusions: The current study revealed that intraoperative VEP monitoring in EEEA is effective for predicting post-operative visual deterioration, and an extension over 8.61% in VEP latency can be used as a critical cut-off value to predict post-operative visual deterioration.Xiaorong TaoXiaocui YangXing FanHao YouYanwen JinJiajia LiuDongze GuoChuzhong LiHui QiaoFrontiers Media S.A.articlecraniopharyngiomaextended endoscopic endonasal approachoptic nervesvisual evoked potential (VEP)post-operative visual deteriorationNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	craniopharyngioma extended endoscopic endonasal approach optic nerves visual evoked potential (VEP) post-operative visual deterioration Neurology. Diseases of the nervous system RC346-429
spellingShingle	craniopharyngioma extended endoscopic endonasal approach optic nerves visual evoked potential (VEP) post-operative visual deterioration Neurology. Diseases of the nervous system RC346-429 Xiaorong Tao Xiaocui Yang Xing Fan Hao You Yanwen Jin Jiajia Liu Dongze Guo Chuzhong Li Hui Qiao Prediction of Post-operative Visual Deterioration Using Visual-Evoked Potential Latency in Extended Endoscopic Endonasal Resection of Craniopharyngiomas
description	Background: The current study aimed to investigate the predictive value of visual-evoked potential (VEP) latency for post-operative visual deterioration in patients undergoing craniopharyngioma resection via extended endoscopic endonasal approach (EEEA).Methods: Data from 90 patients who underwent craniopharyngioma resection via EEEA with intraoperative VEP monitoring were retrospectively reviewed. P100 latency was compared between patients with and without post-operative visual deterioration, and the threshold value of P100 latency for predicting post-operative visual deterioration was calculated by the receiver operating characteristic curve analysis. In addition, other potential prognostic factors regarding post-operative visual outcomes were also analyzed by multivariate analysis.Results: Patients with post-operative visual deterioration showed a significantly longer VEP latency than those without (p < 0.001). An extension over 8.61% in VEP latency was identified as a predictor of post-operative visual deterioration (p < 0.001). By contrast, longer preoperative visual impairment duration and larger tumor volume were not significant predictors for post-operative visual deterioration.Conclusions: The current study revealed that intraoperative VEP monitoring in EEEA is effective for predicting post-operative visual deterioration, and an extension over 8.61% in VEP latency can be used as a critical cut-off value to predict post-operative visual deterioration.
format	article
author	Xiaorong Tao Xiaocui Yang Xing Fan Hao You Yanwen Jin Jiajia Liu Dongze Guo Chuzhong Li Hui Qiao
author_facet	Xiaorong Tao Xiaocui Yang Xing Fan Hao You Yanwen Jin Jiajia Liu Dongze Guo Chuzhong Li Hui Qiao
author_sort	Xiaorong Tao
title	Prediction of Post-operative Visual Deterioration Using Visual-Evoked Potential Latency in Extended Endoscopic Endonasal Resection of Craniopharyngiomas
title_short	Prediction of Post-operative Visual Deterioration Using Visual-Evoked Potential Latency in Extended Endoscopic Endonasal Resection of Craniopharyngiomas
title_full	Prediction of Post-operative Visual Deterioration Using Visual-Evoked Potential Latency in Extended Endoscopic Endonasal Resection of Craniopharyngiomas
title_fullStr	Prediction of Post-operative Visual Deterioration Using Visual-Evoked Potential Latency in Extended Endoscopic Endonasal Resection of Craniopharyngiomas
title_full_unstemmed	Prediction of Post-operative Visual Deterioration Using Visual-Evoked Potential Latency in Extended Endoscopic Endonasal Resection of Craniopharyngiomas
title_sort	prediction of post-operative visual deterioration using visual-evoked potential latency in extended endoscopic endonasal resection of craniopharyngiomas
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/2b1f80fe07164242b31a86d83091849c
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Prediction of Post-operative Visual Deterioration Using Visual-Evoked Potential Latency in Extended Endoscopic Endonasal Resection of Craniopharyngiomas

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