Neurophysiology in neurosurgery : a modern intraoperative approach / edited by Vedran Deletis, Jay L. Shils.

Format:

Book

Contributor:

Deletis, Vedran.

Shils, Jay L.

Clarence J. Marshall Memorial Library Fund.

Language:

English

Subjects (All):

Neurophysiologic monitoring.

Neurophysiology.

Nervous system--Surgery.

Nervous system.

Monitoring, Physiologic.

Neurosurgical Procedures.

Medical Subjects:

Monitoring, Physiologic.

Neurophysiology.

Neurosurgical Procedures.

Physical Description:

xv, 487 pages, 8 unnumbered pages of plates : illustrations (some color) ; 24 cm + 1 CD-ROM (sound, color ; 4 3/4 in.)

Place of Publication:

Amsterdam ; Boston : Academic Press, [2002]

System Details:

text file

Summary:

Accompanying CD-ROM contains ... "video clips of selected surgeries and accompanying intraoperative monitoring techniques." -- p. [4] of cover.

Contents:

Part I Motor Evoked Potentials/Neurophysiological Base (Background)

1 Animal and Human Motor System Neurophysiology Related to Intraoperative Monitoring / Vahe E. Amassian 3

2 Corticospinal Responses 5

3 Muscle Responses 18

2 Intraoperative Neurophysiology and Methodologies Used to Monitor the Functional Integrity of the Motor System / Vedran Deletis 25

1 Intraoperative Monitoring of the Motor System: A Brief History 26

2 New Methodologies 29

3 Methodological Aspects of TES During General Anesthesia 31

4 Recording of MEPs over the Spinal Cord (Epidural and Subdural Space) Using Single Pulse Stimulation Technique 34

5 Recording of MEPs in Limb Muscles Elicited by a Multipulse Stimulating Technique 41

Part II Intraoperative Neurophysiology of the Spinal Cord (Spinal Cord Monitoring)

3 Spinal Cord Surgery / George I. Jallo, Fred J. Epstein 55

2 Epidemiology and Histology 56

3 Clinical Presentation 57

4 Diagnostic Studies 58

5 Surgical Management 60

6 Outcome Following Surgery 68

7 Surgical Complications 69

4 Motor Evoked Potential Monitoring for Intramedullary Spinal Cord Tumor Surgery / Karl F. Kothbauer 73

2 Neurophysiology 76

3 Anesthesia 79

4 Safety 80

5 Clinical Assessment and Correlation 80

6 Practical Surgical Application of Intraoperative Neurophysiological Information 81

7 Illustrative Cases 85

5 Selective Spinal Cord Lesioning Procedures for Spasticity and Pain / Marc Sindou, Patrick Mertens 93

Part I Selective Lesioning Procedures in Spinal Roots and Spinal Cord for Treatment of Spasticity 94

1 Procedures 94

2 Indications 101

Part II Selective Spinal Cord Lesioning Procedures for Treatment of Pain: DREZ Lesions 104

1 Microsurgical DREZotomy 105

2 Radiofrequency (RF) Thermocoagulation Procedure 111

3 DREZ Procedures with the Laser Beam 112

4 Ultrasonic DREZ Procedure 113

5 Indications for DREZ 113

6 Neurophysiological Monitoring During Endovascular Procedures on the Spine and the Spinal Cord / Francesco Sala, Yasunari Niimi 119

1 Spinal Cord Vascularization and Ischemia 120

2 Neurophysiological Monitoring 124

3 Endovascular Treatment of Vascular Malformations and Tumors of the Spine and the Spinal Cord 133

7 Intraoperative Neurophysiological Mapping of the Spinal Cord's Dorsal Columns / Matevz J. Krzan 153

2 Methods of Intraoperative Recording of SEPs with Miniature Electrodes 156

3 Results 157

Part III Intraoperative Neurophysiology of Peripheral Nerves, Nerve Roots and Plexuses

8 Intraoperative Neurophysiology of the Peripheral Nervous System / Leo Happel, David Kline 169

2 Nerve Regeneration 174

3 Equipment for Intraoperative Recording 175

4 Electrodes for Intraoperative Recording and Stimulation 178

5 Anesthetic Considerations 182

6 Recording CNAPs Intraoperatively 182

7 Criteria for Appraising a CNAP 183

8 Operative Results 185

9 Troubleshooting 190

9 Intraoperative Neurophysiological Monitoring of the Sacral Nervous System / David B. Vodusek, Vedran Deletis 197

2 Functional Anatomy 199

3 Clinical Neurophysiological Tests in Diagnostics 202

4 Intraoperative Clinical Neurophysiology 203

10 Sensory Rhizotomy for the Treatment of Childhood Spasticity / Rick Abbott 219

2 Modern Development of Selective Dorsal Rhizotomy 220

3 Physiologic Basis of Current Techniques 223

4 Outcome 225

11 Neurophysiological Monitoring During Pedicle Screw Placement / Richard J. Toleikis 231

2 Techniques for Assessing Nerve Root Function and Pedicle Screw Placement 233

3 Personal Experience 255

Part IV Intraoperative Neurophysiology of Cranial Nerves and Brainstem

12 Surgery of Brainstem Lesions / Albino Bricolo, Francesco Sala 267

2 Patient Selection and Rationale for Surgery 269

3 General Principles of the Surgical Strategy 270

4 Postoperative Care 279

5 Neurophysiological Monitoring 285

13 Monitoring and Mapping the Cranial Nerves and the Brainstem / Aage R. Moller 291

2 Monitoring Cranial Motor Nerves 292

3 Monitoring Sensory Cranial Nerves 301

4 Monitoring the Brainstem 309

5 Mapping the Floor of the Fourth Ventricle 310

6 Monitoring That Can Guide the Surgeon During an Operation 311

14 Brainstem Mapping / Nobuhito Morota, Vedran Deletis, Fred J. Epstein 319

2 Methodology of BSM 322

3 Results of BSM 323

4 Surgical Implications of BSM 325

5 Clinical Limitations of BSM 327

6 Representative Case of BSM 328

7 Clinical Application of BSM 331

Part V Intraoperative Neurophysiology of Supratentorial Procedures

15 Intraoperative Neurophysiological Mapping and Monitoring for Supratentorial Procedures / Georg Neuloh, Johannes Schramm 339

2 Somatosensory Evoked Potentials 342

3 Intraoperative and Perioperative Neurophysiological Functional Mapping 353

4 MEP Monitoring 367

5 Safety and Anesthesia 387

6 Value and Limitations from a Clinical Perspective 390

Part VI Intraoperative Neurophysiology During Stereotactic Neurosurgery for Movement Disorders

16 Neurophysiological Monitoring During Neurosurgery for Movement Disorders / Jay L. Shils, Michele Tagliati, Ron L. Alterman 405

2 History and Theory 406

3 Operating Room Environment and Basic Equipment 417

4 Technique for Movement Disorder Surgery 424

Part VII Intraoperative Neurophysiology and Anesthesia Management

17 Anesthesia and Motor Evoked Potential Monitoring / Tod B. Sloan 451

3 Effects of Specific Anesthetic Agents 455

4 Conclusion: Anesthetic Choice for Motor Tract Monitoring 468.

Notes:

Includes bibliographical references and index.

Local Notes:

Acquired for the Penn Libraries with assistance from the Clarence J. Marshall Memorial Library Fund.

ISBN:

0122090365

OCLC:

50547998