{"id":"https://openalex.org/W3090039254","doi":"https://doi.org/10.1097/wnp.0000000000000777","title":"Intraoperative Neuromonitoring of Blink Reflex During Posterior Fossa Surgeries and Its Correlation With Clinical Outcome","display_name":"Intraoperative Neuromonitoring of Blink Reflex During Posterior Fossa Surgeries and Its Correlation With Clinical Outcome","publication_year":2020,"publication_date":"2020-09-28","ids":{"openalex":"https://openalex.org/W3090039254","doi":"https://doi.org/10.1097/wnp.0000000000000777","mag":"3090039254","pmid":"https://pubmed.ncbi.nlm.nih.gov/33009043"},"language":"en","primary_location":{"id":"doi:10.1097/wnp.0000000000000777","doi":"https://doi.org/10.1097/wnp.0000000000000777","is_oa":false,"landing_page_url":"https://doi.org/10.1097/wnp.0000000000000777","pdf_url":null,"source":{"id":"https://openalex.org/S116127033","display_name":"Journal of Clinical Neurophysiology","issn_l":"0736-0258","issn":["0736-0258","1537-1603"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Neurophysiology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Elif Ilgaz Aydinlar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I322491407","display_name":"Ac\u0131badem University","ror":"https://ror.org/01rp2a061","country_code":"TR","type":"education","lineage":["https://openalex.org/I322491407"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Elif Ilgaz Aydinlar","raw_affiliation_strings":["Department of Neurology, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey;","institution_ids":["https://openalex.org/I322491407"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Muge Kocak","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I322491407","display_name":"Ac\u0131badem University","ror":"https://ror.org/01rp2a061","country_code":"TR","type":"education","lineage":["https://openalex.org/I322491407"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Muge Kocak","raw_affiliation_strings":["Department of Neurology, Acibadem Altunizade Hospital, Istanbul, Turkey;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Acibadem Altunizade Hospital, Istanbul, Turkey;","institution_ids":["https://openalex.org/I322491407"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Huseyin O. Soykam","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I322491407","display_name":"Ac\u0131badem University","ror":"https://ror.org/01rp2a061","country_code":"TR","type":"education","lineage":["https://openalex.org/I322491407"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Huseyin O. Soykam","raw_affiliation_strings":["Department of Biostatistics and Bioinformatics, Life Science Institute, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics and Bioinformatics, Life Science Institute, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey;","institution_ids":["https://openalex.org/I322491407"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011912203","display_name":"Beril Mat","orcid":"https://orcid.org/0000-0003-2959-5231","observed_orcids":["https://orcid.org/0000-0003-2959-5231"]},"institutions":[{"id":"https://openalex.org/I322491407","display_name":"Ac\u0131badem University","ror":"https://ror.org/01rp2a061","country_code":"TR","type":"education","lineage":["https://openalex.org/I322491407"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Beril Mat","raw_affiliation_strings":["Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey; and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey; and","institution_ids":["https://openalex.org/I322491407"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084685474","display_name":"P\u0131nar Yalinay Dikmen","orcid":"https://orcid.org/0000-0001-7112-2142","observed_orcids":["https://orcid.org/0000-0001-7112-2142"]},"institutions":[{"id":"https://openalex.org/I322491407","display_name":"Ac\u0131badem University","ror":"https://ror.org/01rp2a061","country_code":"TR","type":"education","lineage":["https://openalex.org/I322491407"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Pinar Y. Dikmen","raw_affiliation_strings":["Department of Neurology, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey;","institution_ids":["https://openalex.org/I322491407"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039717404","display_name":"Osman U\u011fur Sezerman","orcid":"https://orcid.org/0000-0003-0905-6783","observed_orcids":["https://orcid.org/0000-0003-0905-6783","https://orcid.org/0000-0002-1441-4162"]},"institutions":[{"id":"https://openalex.org/I322491407","display_name":"Ac\u0131badem University","ror":"https://ror.org/01rp2a061","country_code":"TR","type":"education","lineage":["https://openalex.org/I322491407"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Osman Ugur Sezerman","raw_affiliation_strings":["Department of Biostatistics and Bioinformatics, Life Science Institute, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics and Bioinformatics, Life Science Institute, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey;","institution_ids":["https://openalex.org/I322491407"]}]},{"author_position":"middle","author":{"id":null,"display_name":"\u0130lhan Elmaci","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I322491407","display_name":"Ac\u0131badem University","ror":"https://ror.org/01rp2a061","country_code":"TR","type":"education","lineage":["https://openalex.org/I322491407"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"\u0130lhan Elmaci","raw_affiliation_strings":["Department of Neurosurgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey","institution_ids":["https://openalex.org/I322491407"]}]},{"author_position":"last","author":{"id":null,"display_name":"Mustafa Necmettin Pamir","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I322491407","display_name":"Ac\u0131badem University","ror":"https://ror.org/01rp2a061","country_code":"TR","type":"education","lineage":["https://openalex.org/I322491407"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Mustafa Necmettin Pamir","raw_affiliation_strings":["Department of Neurosurgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey","institution_ids":["https://openalex.org/I322491407"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5084685474"],"corresponding_institution_ids":["https://openalex.org/I322491407"],"apc_list":null,"apc_paid":null,"fwci":1.3492,"has_fulltext":false,"cited_by_count":19,"citation_normalized_percentile":{"value":0.8032702,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"39","issue":"4","first_page":"299","last_page":"306"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12476","display_name":"Intraoperative Neuromonitoring and Anesthetic Effects","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12476","display_name":"Intraoperative Neuromonitoring and Anesthetic Effects","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11251","display_name":"Meningioma and schwannoma management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12301","display_name":"Facial Nerve Paralysis Treatment and Research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/blink-reflex","display_name":"blink reflex","score":0.9850000143051147},{"id":"https://openalex.org/keywords/intraoperative-neurophysiological-monitoring","display_name":"intraoperative neuromonitoring","score":0.9860000014305115},{"id":"https://openalex.org/keywords/facial-nerve-monitoring","display_name":"facial nerve monitoring","score":0.7459999918937683},{"id":"https://openalex.org/keywords/cerebellopontine-angle-surgery","display_name":"cerebellopontine angle surgery","score":0.9449999928474426},{"id":"https://openalex.org/keywords/skull-base-surgery","display_name":"skull base surgery","score":0.9620000123977661},{"id":"https://openalex.org/keywords/facial-nerve-function-outcomes","display_name":"facial nerve function outcomes","score":0.75},{"id":"https://openalex.org/keywords/house-brackmann-scale","display_name":"House-Brackmann scale","score":0.8309999704360962},{"id":"https://openalex.org/keywords/prognostic-value","display_name":"prognostic value","score":0.7089999914169312},{"id":"https://openalex.org/keywords/general-anesthesia","display_name":"general anesthesia","score":0.5559999942779541}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8453999757766724},{"id":"https://openalex.org/C46486741","wikidata":"https://www.wikidata.org/wiki/Q1785965","display_name":"Corneal reflex","level":3,"score":0.694100022315979},{"id":"https://openalex.org/C2993788527","wikidata":"https://www.wikidata.org/wiki/Q7234193","display_name":"Posterior fossa","level":2,"score":0.6230000257492065},{"id":"https://openalex.org/C2778987478","wikidata":"https://www.wikidata.org/wiki/Q242160","display_name":"Facial nerve","level":2,"score":0.5663999915122986},{"id":"https://openalex.org/C2779300802","wikidata":"https://www.wikidata.org/wiki/Q13147","display_name":"Skull","level":2,"score":0.5630000233650208},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.44359999895095825},{"id":"https://openalex.org/C83974742","wikidata":"https://www.wikidata.org/wiki/Q179405","display_name":"Reflex","level":2,"score":0.4271000027656555},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.426800012588501},{"id":"https://openalex.org/C148220186","wikidata":"https://www.wikidata.org/wiki/Q7111912","display_name":"Outcome (game theory)","level":2,"score":0.32899999618530273},{"id":"https://openalex.org/C117220453","wikidata":"https://www.wikidata.org/wiki/Q5172842","display_name":"Correlation","level":2,"score":0.2985999882221222}],"mesh":[{"descriptor_ui":"D001767","descriptor_name":"Blinking","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004576","descriptor_name":"Electromyography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005152","descriptor_name":"Facial Muscles","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005154","descriptor_name":"Facial Nerve","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019054","descriptor_name":"Evoked Potentials, Motor","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D019635","descriptor_name":"Neurosurgical Procedures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/wnp.0000000000000777","doi":"https://doi.org/10.1097/wnp.0000000000000777","is_oa":false,"landing_page_url":"https://doi.org/10.1097/wnp.0000000000000777","pdf_url":null,"source":{"id":"https://openalex.org/S116127033","display_name":"Journal of Clinical Neurophysiology","issn_l":"0736-0258","issn":["0736-0258","1537-1603"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Neurophysiology","raw_type":"journal-article"},{"id":"pmid:33009043","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33009043","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":33,"referenced_works":["https://openalex.org/W14552604","https://openalex.org/W1847333556","https://openalex.org/W1964046038","https://openalex.org/W1964393755","https://openalex.org/W1979661968","https://openalex.org/W2017847464","https://openalex.org/W2031238617","https://openalex.org/W2034910416","https://openalex.org/W2037266200","https://openalex.org/W2052798826","https://openalex.org/W2055030446","https://openalex.org/W2062274630","https://openalex.org/W2075692179","https://openalex.org/W2077151311","https://openalex.org/W2086744970","https://openalex.org/W2089376234","https://openalex.org/W2090661276","https://openalex.org/W2106299619","https://openalex.org/W2119741525","https://openalex.org/W2121468873","https://openalex.org/W2129537440","https://openalex.org/W2133073150","https://openalex.org/W2150593711","https://openalex.org/W2156004131","https://openalex.org/W2167182212","https://openalex.org/W2168721787","https://openalex.org/W2171516957","https://openalex.org/W2560083539","https://openalex.org/W2594513980","https://openalex.org/W2768788370","https://openalex.org/W2886368623","https://openalex.org/W4231107416","https://openalex.org/W6679797286"],"related_works":["https://openalex.org/W7167328377","https://openalex.org/W4396609805","https://openalex.org/W2029273483","https://openalex.org/W2049480214","https://openalex.org/W4413877952","https://openalex.org/W4394981248","https://openalex.org/W1992677909","https://openalex.org/W4411661485","https://openalex.org/W7161631973","https://openalex.org/W7053358732"],"abstract_inverted_index":{"PURPOSE:":[0],"Blink":[1,57,199],"reflex":[2,58,200],"(BR)":[3],"under":[4],"general":[5],"anesthesia":[6],"as":[7],"an":[8,101,109],"intraoperative":[9,29,145,225],"neuromonitoring":[10,226],"method":[11,227],"was":[12,155],"used":[13,231],"to":[14,24,96,106,172,234,241],"monitor":[15],"facial":[16,43,50,60,183,189,235,244],"nerves":[17],"in":[18,75,82,134,161,167,185,213,232],"few":[19],"studies.":[20],"This":[21],"study":[22],"aimed":[23],"test":[25],"the":[26,76,83,89,130,135,158],"utility":[27],"of":[28,94,104,112,119,188],"BR":[30,146,154,176,221],"during":[31,237],"cerebellopontine":[32],"angle":[33],"and":[34,46,59,81,115,139,142,147,164,195,247],"skull":[35,68,238],"base":[36,69,239],"surgeries,":[37],"assess":[38,242],"its":[39],"prognostic":[40],"value":[41],"for":[42,79,87,192,204],"nerve":[44,125,190,207,245],"functions,":[45,208],"compare":[47],"it":[48],"with":[49,100,129,144],"corticobulbar":[51],"motor":[52],"evoked":[53],"potentials":[54],"(CoMEPs).":[55],"METHODS:":[56],"CoMEPs":[61,148,184,210,236],"were":[62,73,122,127],"recorded":[63],"from":[64],"40":[65,97,105,152],"patients":[66],"undergoing":[67],"surgeries.":[70],"Subdermal":[71],"needles":[72],"placed":[74],"supraorbital":[77],"notch":[78],"stimulation":[80],"orbicularis":[84],"oculi":[85],"muscle":[86],"recording":[88],"BR.":[90],"A":[91],"double":[92],"train":[93],"20":[95],"V":[98],"intensity":[99],"intertrain":[102],"interval":[103,111],"60":[107],"milliseconds,":[108,114],"interstimulus":[110],"2.5":[113],"a":[116,178,223],"stimulus":[117],"duration":[118],"0.5":[120],"milliseconds":[121],"applied.":[123],"Facial":[124],"functions":[126,191],"assessed":[128],"House-Brackmann":[131],"grading":[132],"system":[133],"postoperative":[136,194,206],"day":[137],"1":[138],"third-month":[140,196,215],"period":[141],"correlated":[143,211],"measurements.":[149],"RESULTS:":[150],"Of":[151],"patients,":[153],"recordable":[156],"on":[157],"affected":[159],"side":[160,166],"32":[162],"(80%)":[163],"contralateral":[165],"35":[168],"(87.5%)":[169],"patients.":[170],"According":[171],"our":[173],"statistical":[174],"results,":[175],"had":[177],"slightly":[179],"better":[180,202,212],"sensitivity":[181],"than":[182],"predicting":[186,205,214],"impairment":[187],"both":[193],"time":[197],"points.":[198],"showed":[201],"accuracy":[203],"whereas":[209],"outcome.":[216],"CONCLUSIONS:":[217],"We":[218],"suggest":[219],"that":[220,228],"is":[222],"valuable":[224],"can":[229],"be":[230],"addition":[233],"surgeries":[240],"real-time":[243],"integrity":[246],"predict":[248],"prognosis.":[249]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":4}],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2020-10-08T00:00:00"}