Intraoperative Neuromonitoring

Intraoperative Neuromonitoring

1st Edition - June 28, 2022

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  • Editors: Marc R. Nuwer, David B. MacDonald
  • eBook ISBN: 9780128198278
  • Hardcover ISBN: 9780128198261

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Description

Interoperative Monitoring, Volume 186 provides a concise overview of advances in interoperative monitoring targeted for clinical neurologists. It identifies techniques (EEG, ECoG, EMG, etc.), optimal anesthesia for use, safety issues to be considered, and then discusses advances as they relate to intracranial, spinal, peripheral nerve and vascular surgery. Best practices and case studies are included for all chapters as well as surgical microscope views, illustrations, and medical imaging.

Key Features

  • Identifies the best techniques for specific surgeries with details that include case studies
  • Covers intracranial, spinal, peripheral nerve and vascular surgeries
  • Specifies optimal anesthesia for use
  • Addresses safety issues to be considered
  • Utilizes surgical microscope views, illustrations and medical imaging

Readership

Clinical neurologists, researchers in neurology

Table of Contents

  • Cover image
  • Title Page
  • Table of Contents
  • Copyright
  • Handbook of Clinical Neurology 3rd Series
  • Foreword
  • Preface
  • Contributors
  • Section I General issues
  • Chapter 1: Overview of intraoperative neuromonitoring
  • Abstract
  • History of Monitoring
  • Technologist Staffing and Supervision
  • Conclusions
  • References
  • Further reading
  • Chapter 2: Electroencephalography, electrocorticography, and cortical stimulation techniques
  • Abstract
  • Electroencephalogram (EEG)
  • Electrocorticography
  • Cortical Stimulation Techniques
  • References
  • Chapter 3: Intraoperative evoked potential techniques
  • Abstract
  • Introduction
  • Basic Principles
  • Interpretation and Analysis
  • Somatosensory Evoked Potentials
  • Motor Evoked Potentials
  • Brainstem Auditory Evoked Potentials
  • Visual Evoked Potentials
  • Conclusion
  • References
  • Chapter 4: EMG monitoring
  • Abstract
  • Introduction
  • History
  • Physiology
  • Methodology
  • Facial Nerve Outcome Prediction and Traintime
  • Suprasegmentally Generated EMG Discharges (SEDs)
  • References
  • Chapter 5: Safety issues during surgical monitoring
  • Abstract
  • Introduction
  • Electric Safety
  • Equipment-Related Safety Issues
  • Conclusions
  • Acknowledgments
  • References
  • Section II Intracranial surgery
  • Chapter 6: Neurophysiology during epilepsy surgery
  • Abstract
  • Introduction
  • Epileptic Focus Mapping
  • Functional Mapping
  • Functional Monitoring
  • Conclusion
  • References
  • Chapter 7: Neurophysiology during movement disorder surgery
  • Abstract
  • Introduction
  • Microelectrode Techniques
  • Local Field Potentials
  • General Stereotactic Technique
  • Internal Globus Pallidus Procedures
  • Subthalamic Nucleus Procedures
  • Data Analysis
  • Conclusion
  • References
  • Chapter 8: Intraoperative mapping and monitoring during brain tumor surgeries
  • Abstract
  • Introduction and Neurooncologic Considerations
  • Technical Considerations, Methods, and Set-Up for Asleep and Awake Surgeries
  • Monitoring in Supratentorial Surgery
  • Cortical Mapping During Supratentorial Surgery Under General Anesthesia
  • Subcortical Mapping for the Corticospinal Tract During Surgery Under General Anesthesia
  • Sensory–Motor Integration and Praxis Circuits
  • Language and Cognitive Mapping During Awake Surgeries
  • Summary
  • References
  • Chapter 9: Mapping and monitoring of brainstem surgery
  • Abstract
  • Introduction
  • Indication and Anesthetic Considerations
  • Mapping Techniques
  • Monitoring Techniques
  • Intraoperative Monitoring Pitfalls
  • Optimal Response to Critical IONM Change
  • Conclusion
  • References
  • Chapter 10: Monitoring cerebellopontine angle and skull base surgeries
  • Abstract
  • Introduction
  • Methods
  • Intraoperative Neuromonitoring During MVD for Hemifacial Spasm
  • Conclusion
  • References
  • Section III Spinal surgery
  • Chapter 11: Monitoring scoliosis and other spinal deformity surgeries
  • Abstract
  • Scoliosis and Kyphosis
  • Complications of Spinal Deformity Surgery
  • Cervical Myelopathy
  • Surgery for Cervical Myelopathy
  • Basis for Intraoperative Neurophysiologic Monitoring During Cervical and Thoracic Spinal Surgery
  • Techniques for Intraoperative Neurophysiologic Monitoring During Cervical and Thoracic Spinal Surgery
  • References
  • Further reading
  • Chapter 12: Intraoperative neuromonitoring during surgery for lumbar stenosis
  • Abstract
  • Introduction
  • Pathoanatomic and Clinical Considerations in Lumbar Stenosis
  • Surgical Approaches and Associated Neural Risks
  • Evidence-Based Medicine and IONM in Lumbar Stenosis/Spine Surgery
  • IONM Methods during Lumbar Stenosis Surgery
  • References
  • Chapter 13: Intraoperative neurophysiology in intramedullary spinal cord tumor surgery
  • Abstract
  • Background
  • Why to Use Intraoperative Neurophysiology?
  • Clinical Presentation of ISCTs
  • Anesthesia for IONM
  • Intraoperative Neurophysiological Monitoring Techniques
  • Intraoperative Neurophysiological Mapping Techniques
  • Neuromonitoring-Guided Surgery
  • Conclusions
  • References
  • Chapter 14: Monitoring spinal surgery for extramedullary tumors and fractures
  • Abstract
  • Introduction
  • Indication for Monitoring
  • Role of Intraoperative Neurophysiology
  • IONM and Outcomes for Spinal Extramedullary Tumors And Fractures
  • Conclusion
  • References
  • Chapter 15: Mapping and monitoring of tethered cord and cauda equina surgeries
  • Abstract
  • Anatomy of the Pelvic Floor and Clinical Symptoms in Tethered Cord Syndrome
  • Mapping and Monitoring Techniques
  • Limitations of Mapping and Monitoring Techniques in the Area of the Pelvic Floor
  • Complications and Clinical Outcomes After Tethered Cord Repair
  • Conclusion
  • References
  • Chapter 16: Dorsal root entry zone procedure and other surgeries for pain
  • Abstract
  • Introduction
  • Anatomy of Pain
  • Classification of Surgeries for Pain
  • NIOM for Pain Surgeries
  • Future Directions
  • Conclusion
  • References
  • Section IV Peripheral nerve surgery
  • Chapter 17: Neurophysiology during peripheral nerve surgery
  • Abstract
  • Introduction
  • Preoperative Evaluation
  • IONM Modalities
  • IONM for Specific Disorders
  • Technical/Interpretation Issues
  • Summary
  • References
  • Chapter 18: Monitoring surgery around the cranial nerves
  • Abstract
  • Introduction
  • Monitoring Techniques
  • Cranial Nerves
  • Summary
  • References
  • Section V Vascular surgery
  • Chapter 19: Monitoring in carotid endarterectomy
  • Abstract
  • Introduction
  • Anatomic, Physiologic, Clinical, and Surgical Considerations
  • Intraoperative Neurophysiologic Monitoring for Detection of Cerebral Ischemia in Carotid Endarterectomy
  • Other Monitoring Techniques for Detecting Cerebral Ischemia
  • Conclusion
  • References
  • Chapter 20: Surgery and intraoperative neurophysiologic monitoring for aneurysm clipping
  • Abstract
  • Introduction to Cerebrovascular Surgery
  • Neurophysiologic Methods
  • Technical Considerations for IONM in Cerebral Aneurysm Procedures—Set-up in the Operating Room
  • Vascular Territories and Recommended Recordings
  • Specific Surgical Steps in Aneurysm Surgery
  • Conclusion
  • References
  • Chapter 21: Monitoring cardiac and ascending aortic procedures
  • Abstract
  • Introduction
  • Monitoring During Cardiac Operations
  • Monitoring During Ascending Aortic/Aortic Arch Procedures
  • Conclusions
  • References
  • Chapter 22: Neuromonitoring during descending aorta procedures
  • Abstract
  • Introduction
  • The Vascularization of the Spinal Cord: Anatomy and Hemodynamics of the Spinal Cord Arterial Network
  • Preoperative Planning
  • Open TAA Repair
  • Delayed Paraplegia
  • Conclusions
  • References
  • Index

Product details

  • No. of pages: 452
  • Language: English
  • Copyright: © Elsevier 2022
  • Published: June 28, 2022
  • Imprint: Elsevier
  • eBook ISBN: 9780128198278
  • Hardcover ISBN: 9780128198261

About the Editors

Marc R. Nuwer

Marc R. Nuwer MD PhD is Distinguished Professor of Neurology and Department Head for Clinical Neurophysiology at Reed Neurological Research Center and Ronald Reagan UCLA Medical Center, University of California Los Angeles, Los Angeles, CA, United States.

Affiliations and Expertise

Distinguished Professor, Department of Neurology, and Department Head, Department of Clinical Neurophysiology, University of California Los Angeles, Los Angeles, CA, United States

David B. MacDonald

Dr. David B. MacDonald resides in Italy and is Scientific Director of Arkana Forum, which is based in Emmendingen, Germany, and specializes in neuromonitoring education. He is a Past President of the International Society of Intraoperative Neurophysiology, and was formerly a Consultant in the Section of Clinical Neurophysiology of the Department of Neurosciences at King Faisal Specialist Hospital & Research Center in Riyadh, Saudi Arabia.

Affiliations and Expertise

Scientific Director, Arkana Forum, Emmendingen, Germany

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