지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 1 - 5 (5page)
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Intraoperative neurophysiological monitoring (IONM) is a valuable tool to prevent damage by detecting dysfunction before reaching an irreversible stage in brain, spine and other surgical procedures. This article focuses on the intraoperative application and clinical utility of somatosensory evoked potentials (SEP), motor evoked potentials (tcMEP) and triggered and spontaneous EMG. Somatosensory evoked potential (SEP) monitoring used in several decades helped to prevent neurologic deficits. However, motor compromise can occur without SEP warning and SEP deterioration can occur without motor deficit. Intraoperative MEP monitoring in patients with spinal and cranial lesions is thought to be a valuable tool for prevention of postoperative motor deficits. In recent years, motor evoked potential recording following transcranial electrical stimulation has emerged as a reliable technique to intraoperatively assess the functional integrity of the motor pathways.Spontaneous and triggered EMG is getting widely used as a means of monitoring nerve root function during spine surgery. Although IONM is a valuable technique that provides sensitive and specific indications of neurologic injury, it does have limitations that must be understood. The monitoring team must be well trained, be able to provide the surgeon feedback in real time, and coordinate activities with those of the surgical and anesthesia teams.
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참고문헌 (21)
참고문헌 신청
Daube JR / 1999 / Intraoperative monitoring reduces complications and is therefore useful / Muscle Nerve 22 : 1151 ~ 1153
Deletis V / 2008 / Intraoperative neurophysiological monitoring of the spinal cord during spinal cord and spine surgery: a review focus on the corticospinal tracts / Clin Ne
Florence G / 2004 / Electroencephalography (EEG) and somatosensory evoked potentials (SEP) to prevent cerebral ischaemia in the operating room / Neurophysiol Clin 34 : 17 ~ 3
Guerit JM / 1997 / Somatosensory evoked potential monitoring in carotid surgery. I. Relationships between qualitative SEP alterations and intraoperative events / Electroencep
Gunnarsson T / 2004 / Real-time continuous intraoperative electromyographic and somatosensory evoked potential recordings in spinal surgery: correlation of clinical and elect
Deletis V / 2008 / Intraoperative neurophysiological monitoring of the spinal cord during spinal cord and spine surgery: a review focus on the corticospinal tracts / Clin Ne
Florence G / 2004 / Electroencephalography (EEG) and somatosensory evoked potentials (SEP) to prevent cerebral ischaemia in the operating room / Neurophysiol Clin 34 : 17 ~ 3
Guerit JM / 1997 / Somatosensory evoked potential monitoring in carotid surgery. I. Relationships between qualitative SEP alterations and intraoperative events / Electroencep
Gunnarsson T / 2004 / Real-time continuous intraoperative electromyographic and somatosensory evoked potential recordings in spinal surgery: correlation of clinical and elect
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