Intraoperative Neurophysiologic Monitoring

作者: Alan D. Legatt

DOI: 10.1016/B978-0-409-90171-9.50010-6

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摘要: Publisher Summary This chapter presents an overview of intraoperative neurophysiologic monitoring. Intraoperative neurophysiology comprises a variety techniques that can be used during surgery in which the nervous system is at risk to assist surgeons minimizing neurologic damage. The parts may assessed include brain, spinal cord, and peripheral nerves. fall into two basic categories: (1) localization identification vital areas (2) continuous monitoring neural function. In first these, electrical testing identify structures whose locations are not apparent from inspection anatomy. some cases, structure hidden, such as nerve concealed within tumor capsule or scar tissue. Specific functional cerebral cortex, motor unequivocally identifiable gyral pattern exposed cortex because individual differences both cortical folding organization. Cortical stimulation serve efferent speech areas, while recording responses sensory areas. During involving portions system, brachial plexus, differentiation similar-appearing

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