Multimodal intraoperative monitoring during intramedullary spinal cord tumor surgery
作者： Seung-Hyun Jin , Chun Kee Chung , Chi Heon Kim , Young Doo Choi , Gilho Kwak
DOI: 10.1007/S00701-015-2598-Y
关键词:
摘要: The aim of this work is to evaluate the utility multimodal intraoperative monitoring (IOM) during intramedullary spinal cord tumor (IMSCT) surgery in our institution, and investigate which IOM events are likely be encountered critical surgical phases. Twenty-five patients who underwent IMSCT with were included study. Our assessment SSEP, mMEP, fEMG monitoring. Positive predictive value (PPV), negative (NPV), sensitivity, specificity assessed 24 h 1 month after surgery. three main phases also investigated. For mMEP assessment, two warning criteria (>50 % decrease amplitude all-or-none presence) employed. Long-term outcome prediction was better when criterion applied than >50 % applied. Based on criterion, PPV, NPV, 60, 100, 91 %. Frequent observed major Seven (29 %) showed SSEP opening cord. During removal, 21 25 (84 %) had events, 13 18 (72 %) occurred prior events. association upcoming we recommend inclusion IOM. Multimodal provides useful electrophysiological information surgery, especially
springer.com
sci-hub.se 参考文章(25)
Karl F. Kothbauer, Motor Evoked Potential Monitoring for Intramedullary Spinal Cord Tumor Surgery Neurophysiology in Neurosurgery#R##N#A Modern Intraoperative Approach. pp. 73- 92 ,(2002) , 10.1016/B978-012209036-3/50006-8
Vedran Deletis, Intraoperative Neurophysiology and Methodologies Used to Monitor the Functional Integrity of the Motor System Neurophysiology in Neurosurgery#R##N#A Modern Intraoperative Approach. pp. 25- 51 ,(2002) , 10.1016/B978-012209036-3/50004-4
Aage R. Møller, Intraoperative Neurophysiological Monitoring ,(1995)
Yukihiro Matsuyama, Yoshihito Sakai, Yoshito Katayama, Shiro Imagama, Zenya Ito, Norimitsu Wakao, Koji Sato, Mitsuhiro Kamiya, Yasutsugu Yukawa, Tokumi Kanemura, Makoto Yanase, Naoki Ishiguro, Surgical results of intramedullary spinal cord tumor with spinal cord monitoring to guide extent of resection. Journal of Neurosurgery. ,vol. 10, pp. 404- 413 ,(2009) , 10.3171/2009.2.SPINE08698
Paul Park, Anthony C. Wang, Jaypal Reddy Sangala, Sung Moon Kim, Shawn Hervey-Jumper, Khoi D. Than, Amin Farokhrani, Frank LaMarca, Impact of multimodal intraoperative monitoring during correction of symptomatic cervical or cervicothoracic kyphosis: Clinical article Journal of Neurosurgery. ,vol. 14, pp. 99- 105 ,(2011) , 10.3171/2010.9.SPINE1085
Daniel S. Yanni, Sedat Ulkatan, Vedran Deletis, Ignacio J. Barrenechea, Chandranath Sen, Noel I. Perin, Utility of neurophysiological monitoring using dorsal column mapping in intramedullary spinal cord surgery. Journal of Neurosurgery. ,vol. 12, pp. 623- 628 ,(2010) , 10.3171/2010.1.SPINE09112
Ian J. Woodforth, Richard G. Hicks, Matthew R. Crawford, John P. Stephen, David J. Burke, Variability of Motor-Evoked Potentials Recorded During Nitrous Oxide Anesthesia from the Tibialis Anterior Muscle After Transcranial Electrical Stimulation Anesthesia & Analgesia. ,vol. 82, pp. 744- 749 ,(1996) , 10.1097/00000539-199604000-00012
Danielle D. Langeloo, Arjan Lelivelt, H. Louis Journée, Robert Slappendel, Marinus de Kleuver, Transcranial Electrical Motor-Evoked Potential Monitoring During Surgery for Spinal Deformity : A Study of 145 Patients Spine. ,vol. 28, pp. 1043- 1050 ,(2003) , 10.1097/01.BRS.0000061995.75709.78
VEDRAN DELETIS, FRANCESCO SALA, The role of intraoperative neurophysiology in the protection or documentation of surgically induced injury to the spinal cord Annals of the New York Academy of Sciences. ,vol. 939, pp. 137- 144 ,(2006) , 10.1111/J.1749-6632.2001.TB03620.X
K.F. Kothbauer, Intraoperative neurophysiologic monitoring for intramedullary spinal-cord tumor surgery. Neurophysiologie Clinique-clinical Neurophysiology. ,vol. 37, pp. 407- 414 ,(2007) , 10.1016/J.NEUCLI.2007.10.003