[Somatosensory evoked potentials in the evaluation of the effectiveness of intensive therapy of ischemic complications in neurosurgical patients].

Nineteen patients with ischemic disorders of brain circulation were examined. All of them were in a critical state and in need of intensive vasoactive therapy. Somatosensory evoked potentials (SSEP) were examined in both hemispheres in all of them, this being followed by monitoring on the side of the predominant involvement. Simultaneously with monitoring, vasoactive therapy was started, beginning from rheological agents. Electro-physiologic assessment of the efficacy of vasoactive drugs in this group of patients revealed that the time course of SSEP helps predict the disease outcome, detect the reaction to a specific vasoactive agent, and choose the appropriate scheme of intensive care.