Intraoperative neurophysiological monitoring (IOM) has proven itself a versatile technique that reduces the risks of acquiring intraoperative neurological deficits, shortens operating time, and lowers the costs of medical care and rehabilitation. It can also reduce the risks of medical malpractice suits and serve as a research tool to better understand nervous system disorders and promote improved treatments. In Intraoperative Neurophysiological Monitoring, Second Edition, the premier authority on the subject, Aage R. Møller, has extensively expanded and rewritten his highly regarded first edition to create a comprehensive, up-to-date reference on IOM techniques and their anatomical and physiological basis. In addition, the author has added new material on the monitoring of the spinal motor system, sensory systems, peripheral nerves, and in skull base surgery. Writing as a pioneer and leader in the field, Dr. Møller provides practical information about how to perform electrophysiological recordings in the operating room, interpret the results, and present them to the surgeon. Included are descriptions of methods for guiding the surgeon in such operations as microvascular decompression and the implantation of electrodes for deep brain stimulation and auditory prostheses. Methods for mapping of the cerebral cortex, the brainstem, and the spinal cord are also described, as well as practical procedures for monitoring cranial motor nerves. Practical aspects of IOM including requirements of equipment, reducing electrical and magnetic interference, and how to work with other teams in the operating room are discussed in detail.
Comprehensive and up-to-date, Intraoperative Neurophysiological Monitoring, Second Edition, is an authoritative survey of the theoretical and practical knowledge needed to reduce the risks that occur in surgical operations impacting the nervous system.
Zusammenfassung
This book is based on two earlier works: Section IV is devoted to peripheral nerves, Aage R. Møller: Evoked Potentials in Intraop- and Chapter 12 covers the anatomy and physi- erative Monitoring published in 1988 by Will- ogy, whereas Chapter 13 discusses practical - iams and Wilkens; and more directly by Aage R pects of monitoring peripheral nerves. Møller: Intraoperative Neurophysiologic Moni- Section V discusses different ways that int- toring published in 1995 by Gordon and Breach operative electrophysiological recordings can under the imprint of Harwood academic publish- guide the surgeon in an operation. Chapter 14 ers. The present book represents an expansion discusses methods to identify motor and sensory and extensive rewriting of the 1995 book. In par- nerves and map the spinal cord and the floor of ticular, new chapters related to monitoring of the the fourth ventricle. Chapter 15 describes me- spinal motor system and deep brain stimulation ods that can guide the surgeon in an operation, (DBS) have been added. The anatomical and such as microvascular decompression operations physiological basis for these techniques are for hemifacial spasm and placement of el- described in detail as are the practical aspects of trodes for DBS and for making lesions in the such monitoring. Chapters on monitoring of sen- thalamus and basal ganglia. sory systems and monitoring in skull base sur- Section VI discusses practical aspects of - gery have been rewritten as has the chapter on traoperative monitoring.
Inhalt
Pain processing in the ventrocaudal nucleus of the human thalamus.- Principles of Intraoperative Neurophysiological Monitoring.- Basis of Intraoperative Neurophysiological Monitoring.- Generation of Electrical Activity in the Nervous System and Muscles.- Practical Aspects of Recording Evoked Activity From Nerves, Fiber Tracts, and Nuclei.- Sensory Systems.- Anatomy and Physiology of Sensory Systems.- Monitoring Auditory Evoked Potentials.- Monitoring of Somatosensory Evoked Potentials.- Monitoring of Visual Evoked Potentials.- Motor Systems.- Anatomy and Physiology of Motor Systems.- Practical Aspects of Monitoring Spinal Motor Systems.- Practical Aspects of Monitoring Cranial Motor Nerves.- Peripheral Nerves.- Anatomy and Physiology of Peripheral Nerves.- Practical Aspects of Monitoring Peripheral Nerves.- Intraoperative Recordings That Can Guide the Surgeon in the Operation.- Identification of Specific Neural Tissue.- Intraoperative Diagnosis and Guide in Operations.- Practical Aspects of Electrophysiological Recording in the Operating Room.- Anesthesia and Its Constraints in Monitoring Motor and Sensory Systems.- General Considerations About Intraoperative Neurophysiological Monitoring.- Equipment, Recording Techniques, Data Analysis, and Stimulation.- Evaluating the Benefits of Intraoperative Neurophysiological Monitoring.