2022年 · 第38卷第11期

Skull base tumor is a general term for tumors originating from anterior, middle and posterior cranial fossa floor. Total surgical resection is the main treatment method and the most fundamental goal of skull base surgery. The anatomy of the skull base region is complex, involving many groups of cranial nerves and important arteriovenous vessels, with narrow surgical field, difficult to expose, and high surgical risk. Intraoperative neuroelectrophysiological monitoring is an important auxiliary means in skull base tumor surgery, which can effectively improve the safety of surgery and reduce the incidence of postoperative neurological dysfunction. It has been gradually applied in major neurosurgical centers in China. However, there are some differences in the personnel, technology and equipment of intraoperative neuroelectrophysiological monitoring in different medical centers, and so far, a unified technical specification has not been formed in this field. In view of this, the Neuroelectrophysiological Monitoring Group of Neurosurgeons Branch of Chinese Medical Doctors Association organized experts from neurosurgery, neuroelectrophysiology, anesthesia and other related disciplines to jointly write this consensus, and used the evidence grade and recommended grade 2011 edition of Oxford Center for Evidence-Based Medicine to grade the evidence. This consensus can be used as a reference for all centers in China that have or intend to carry out neuroelectrophysiological monitoring in skull base tumor surgery, so as to establish a standardized technical system for intraoperative monitoring of skull base tumor, and ultimately benefit the majority of patients with skull base tumor.