Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case report
Abstract Background Transcranial motor-evoked potential (Tc-MEP) monitoring is usually performed during surgeries involving a risk of damaging brain motor areas. However, it involves a risk of bite injuries. We report a case of severe tongue laceration from Tc-MEP stimulation during carotid endarter...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2022-12-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-022-00593-6 |
| _version_ | 1797973697768718336 |
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| author | Katsuhiro Matsumoto Hideyuki Nakagawa Akira Kitamura |
| author_facet | Katsuhiro Matsumoto Hideyuki Nakagawa Akira Kitamura |
| author_sort | Katsuhiro Matsumoto |
| collection | DOAJ |
| description | Abstract Background Transcranial motor-evoked potential (Tc-MEP) monitoring is usually performed during surgeries involving a risk of damaging brain motor areas. However, it involves a risk of bite injuries. We report a case of severe tongue laceration from Tc-MEP stimulation during carotid endarterectomy (CEA) in a patient taking antiplatelet agents. Case presentation A 74-year-old man on antiplatelet therapy was scheduled for CEA under general anesthesia with intraoperative Tc-MEP monitoring. Bite blocks were not inserted. Postoperatively, we observed a tongue laceration with severe bleeding, which was sutured. The difficulties in tongue movement persisted for ≥ 1 month postoperatively. Conclusions Bite injuries during Tc-MEP may induce severe bleeding in patients on antiplatelets. The complications of tongue bite injuries may persist, decreasing the patients’ quality of life. Hence, during Tc-MEP monitoring, it is important to use soft bite blocks and to check the patient’s face and the position of the tracheal tube intraoperatively. |
| first_indexed | 2024-04-11T04:08:27Z |
| format | Article |
| id | doaj.art-5e5b6b28023b4add9c66d8c02b7c7737 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-11T04:08:27Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-5e5b6b28023b4add9c66d8c02b7c77372023-01-01T12:14:48ZengSpringerOpenJA Clinical Reports2363-90242022-12-01811410.1186/s40981-022-00593-6Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case reportKatsuhiro Matsumoto0Hideyuki Nakagawa1Akira Kitamura2Department of Anesthesiology, Saitama Medical University International Medical CenterDepartment of Anesthesiology, Saitama Medical University International Medical CenterDepartment of Anesthesiology, Saitama Medical University International Medical CenterAbstract Background Transcranial motor-evoked potential (Tc-MEP) monitoring is usually performed during surgeries involving a risk of damaging brain motor areas. However, it involves a risk of bite injuries. We report a case of severe tongue laceration from Tc-MEP stimulation during carotid endarterectomy (CEA) in a patient taking antiplatelet agents. Case presentation A 74-year-old man on antiplatelet therapy was scheduled for CEA under general anesthesia with intraoperative Tc-MEP monitoring. Bite blocks were not inserted. Postoperatively, we observed a tongue laceration with severe bleeding, which was sutured. The difficulties in tongue movement persisted for ≥ 1 month postoperatively. Conclusions Bite injuries during Tc-MEP may induce severe bleeding in patients on antiplatelets. The complications of tongue bite injuries may persist, decreasing the patients’ quality of life. Hence, during Tc-MEP monitoring, it is important to use soft bite blocks and to check the patient’s face and the position of the tracheal tube intraoperatively.https://doi.org/10.1186/s40981-022-00593-6Motor-evoked potentialTongue bite injuryCarotid endarterectomyAntiplatelet agent |
| spellingShingle | Katsuhiro Matsumoto Hideyuki Nakagawa Akira Kitamura Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case report JA Clinical Reports Motor-evoked potential Tongue bite injury Carotid endarterectomy Antiplatelet agent |
| title | Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case report |
| title_full | Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case report |
| title_fullStr | Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case report |
| title_full_unstemmed | Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case report |
| title_short | Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case report |
| title_sort | tongue laceration in a patient taking antiplatelet agents during transcranial motor evoked potential monitoring a case report |
| topic | Motor-evoked potential Tongue bite injury Carotid endarterectomy Antiplatelet agent |
| url | https://doi.org/10.1186/s40981-022-00593-6 |
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