수술증 신경계 감시
Intraoperative Neuromonitoring
2
조회
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다운로드
4
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참고문헌
키워드
초록
Intraoperative neuromonitoring (INM) is well known to be useful method to reduce intraoperative complications during the surgery of nervous system lesions. Evoked potentials are most commonly used among the electrophysiological tests. Brainstem auditory evoked potentials are for detecting the problems along the auditory pathways including the eighth cranial nerve and brainstem. Somatosensory evoked potentials are applied for preventing the spinal cord lesions. The INM is affected by many factors. In order to perform an optimal INM, the confounding factors including technical, anesthetical, and individual factors should be kept well under control. INM has frequent electrophysiologic changes during the surgery and it might be helpful to keep one’s eyes on which monitoring modalities are reluctant to change during each operation. The skillful monitoring and timely interpretation of electrophysiologic changes can drive the patient to be undergone surgery, even in high surgical risk group.
Abstract
Intraoperative neuromonitoring (INM) is well known to be useful method to reduce intraoperative complications during the surgery of nervous system lesions. Evoked potentials are most commonly used among the electrophysiological tests. Brainstem auditory evoked potentials are for detecting the problems along the auditory pathways including the eighth cranial nerve and brainstem. Somatosensory evoked potentials are applied for preventing the spinal cord lesions. The INM is affected by many factors. In order to perform an optimal INM, the confounding factors including technical, anesthetical, and individual factors should be kept well under control. INM has frequent electrophysiologic changes during the surgery and it might be helpful to keep one’s eyes on which monitoring modalities are reluctant to change during each operation. The skillful monitoring and timely interpretation of electrophysiologic changes can drive the patient to be undergone surgery, even in high surgical risk group.
참고문헌 (25)
- Jasper HH, "History of the early development of electroencephalographyand clinical neurophysiology at the MontrealNeurological Institute: the first 25 years 1939-1964", Can JNeurol Sci, 18, pp.533~548 (1991)
- Scoliosis Research Society, "25th annual meeting. Minneapolis,Minnesota, September", Spine, 17, pp.S214~330 (1992)
- Legatt AD, "Current practice of motor evoked potential monitoring:results of a survey", J Clin Neurophysiol, 19, pp.454~460 (2002)
- Legatt AD, "Mechanisms of intraoperative brainstem auditoryevoked potential changes", J Clin Neurophysiol, 19, pp.396~408 (2002)
- Burke D, "Intraoperative monitoring. The InternationalFederation of Clinical Neurophysiology", ElectroencephalogrClin Neurophysiol Supp, 52, pp.133~148 (1999)
- Owen JH, "The clinical application of neurogenic motorevoked potentials to monitor spinal cord function duringsurgery", Spine, 16, pp.S385~390 (1991)
- Hallett M, "Transcranial magnetic stimulation: a primer", Neuron, 55, pp.187~199 (2007)
- Weinzierl MR, "Combined motor and somatosensory evoked potentials forintraoperative monitoring: intra- and postoperative data in aseries of 69 operations", Neurosurg Rev, 30, pp.109~116 (2007)
- Woodforth IJ, "Variability of motor-evoked potentials recorded duringnitrous oxide anesthesia from the tibialis anterior muscle aftertranscranial electrical stimulation", Anesth Analg, 82, pp.744~749 (1996)
- Langeloo DD, "Criteria for transcranial electrical motor evoked potentialmonitoring during spinal deformity surgery A review anddiscussion of the literature", Neurophysiol Clin, 37, pp.431~439 (2007)
- Jameson LC, "Monitoring of the brain and spinalcord", Anesthesiol Clin, 24, pp.777~791 (2006)
- Leppanen RE, "American Society of NeurophysiologicalM. Intraoperative monitoring of segmental spinalnerve root function with free-run and electrically-triggeredelectromyography and spinal cord function with reflexes andF-responses. A position statement by the American Society ofNeurophysiological Monitoring", J Clin Monit Comput, 19, pp.437~461 (2005)
- Staudt LA, "Intraoperative monitoringduring selective posterior rhizotomy: technique and patientoutcome", Electroencephalogr Clin Neurophysiol, 97, pp.296~309 (1995)
- Yingling CD, "Intraoperative monitoring of facialand cochlear nerves during acoustic neuroma surgery", Otolaryngol Clin North A, 25, pp.413~448 (1992)
- Duffau H, "Intra-operative direct electrical stimulations ofthe central nervous system: the Salpetriere experience with 60patients", Acta Neurochir, 141, pp.1157~1167 (1999)
- Woolsey CN, "Localization insomatic sensory and motor areas of human cerebral cortex asdetermined by direct recording of evoked potentials andelectrical stimulation", Neurosurg, 51, pp.476~506 (1979)
- Woolsey CN, "Study of the postcentral gyrus ofman by the evoked potential technique", Trans Am NeurolAssoc, 51, pp.50~52 (1950)
- Allison T, "Potentialsevoked in human and monkey cerebral cortex by stimulationof the median nerve. A review of scalp and intracranialrecordings", Brain, 114, pp.2465~2503 (1991)
- Kombos T, "Intraoperativemapping of the motor cortex during surgery in andaround the motor cortex", Acta Neurochir, 142, pp.263~268 (2000)
- Pelosi L, "Combined monitoring of motor and somatosensoryevoked potentials in orthopaedic spinal surgery", ClinNeurophysiol, 113, pp.1082~1091 (2002)
- Hilibrand AS, "Comparison of transcranial electric motor andsomatosensory evoked potential monitoring during cervicalspine surgery", J Bone Joint Surg Am, 86-A, pp.1248~1253 (2004)
- Danesh-Clough T, "The useof evoked EMG in detecting misplaced thoracolumbar pediclescrews", Spine, 26, pp.1313~1316 (2001)
- Nuwer MR, "Somatosensory evoked potential spinal cord monitoringreduces neurologic deficits after scoliosis surgery: results of alarge multicenter survey", Electroencephalogr Clin Neurophysiol, 96, pp.6~11 (1995)
- Dawson EG, "Spinal cordmonitoring. Results of the Scoliosis Research Society and theEuropean Spinal Deformity Society survey", Spine, 16, pp.S361~364 (1991)
- Owen JH, "Intraoperative stimulation of the spinal cord forprevention of spinal cord injur", Adv Neurol, 63, pp.271~288 (1993)