Intraoperative spinal cord monitoring for intramedullary surgery: an essential adjunct

Pediatric Neurosurgery
K F KothbauerFred Epstein

Abstract

Intraoperative monitoring of the functional integrity of the spinal cord during removal of intramedullary spinal cord lesions is an aid in intraoperative decision making and a primary tool for the prediction of neurological outcome. Motor evoked potential monitoring has become the neurophysiological monitoring technique of choice for that purpose. In the senior author's experience with over 130 pediatric patients suffering from intramedullary spinal cord tumors, the neurophysiological data of both motor and sensory evoked potentials was utilized in an integrative fashion. Motor evoked potentials, elicited with single transcranial electrical stimuli and recorded directly from the spinal cord with an electrode in the spinal epidural space, reflect the functional integrity of the corticospinal tract. Motor evoked potentials, elicited with a short train of transcranial electrical stimuli and recorded from limb muscles, reflect the functional integrity of the motor system from the cerebral cortex/white matter to beyond the neuromuscular junction. Both epidural and muscle motor evoked potentials correlated closely with postoperative neurological function. Both techniques provide fast, practical and reliable information on the functio...Continue Reading

Citations

Apr 11, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Wesley HsuGeorge I Jallo
Nov 12, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Karl F Kothbauer, Vedran Deletis
Nov 11, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Wesley HsuGeorge I Jallo
Feb 11, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Francesco SalaMassimo Gerosa
Jul 27, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Francesco SalaMassimo Gerosa
Jun 30, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Vladimír BenesPetr Suchomel
Jan 22, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Florian H EbnerMarcos Tatagiba
Nov 20, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Paolo CostaGiuliano Faccani
Apr 5, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Zenya ItoToshikazu Tani
Sep 9, 2010·Annals of Biomedical Engineering·Aydin FarajidavarJ-C Chiao
Apr 3, 2003·Current Treatment Options in Neurology·Daniel C. Bowers, Bradley E. Weprin
Jan 22, 2002·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Kathleen BartleyDavid Burke
Dec 13, 2002·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·David B MacDonald
Sep 8, 2001·Spine·H DeutschG I Jallo
Dec 5, 2013·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Andres A GonzalezPatrick Hsieh
Aug 14, 2012·Journal of Neurosurgery. Spine·Zenya ItoNaoki Ishiguro
Oct 27, 2007·Neurosurgical Focus·Matthias SetzerFrank D Vrionis
Jan 27, 2005·Neurosurgical Focus·Oren N GottfriedMeic H Schmidt
Jun 24, 2004·Neurosurgical Focus·Karl F Kothbauer, Klaus Novak
Mar 31, 2005·Journal of Neurosurgery. Spine·Raj K ShrivastavaGeorge I Jallo
Apr 8, 2014·Journal of Neurosurgery. Pediatrics·Raheel AhmedJames C Torner
Oct 30, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Erwin M J CornipsJohannes S H Vles
Feb 24, 2004·Medical & Biological Engineering & Computing·H L JournéeA A Postma
Feb 6, 2013·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Ralf Peter MichlerIvar Rossvoll
Dec 19, 2015·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Paolo Costa, Vedran Deletis
Jun 5, 2012·Clinical Neurology and Neurosurgery·John F MorrisonJeffrey E Arle
Jan 10, 2012·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Sung-Min KimKwang-Woo Lee
Dec 18, 2007·Neurophysiologie clinique = Clinical neurophysiology·Jeffrey E Arle, Jay L Shils
Dec 7, 2007·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Vedran Deletis, Francesco Sala
Nov 10, 2007·Neurosurgery Clinics of North America·Mandy BinningLiliana Goumnerova

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