지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 262 - 273 (12page)
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초록· 키워드
오류제보하기
Te risk of iatrogenic damage is very high in surgical interventions in or around the brainstem.
However, surgical techniques and intraoperative neuromonitoring (ION) have evolved sufciently to increase the likelihood of successful functional outcomes in many patients. We present a critical review of the methodologies available for intraoperative monitoring and mapping of the brainstem. Tere are three main groups of techniques that can be used to assess the functional integrity of the brainstem: 1) mapping, which provides rapid anatomical identifcation of neural structures using electrical stimulation with a hand-held probe, 2) monitoring, which provides real-time information about the functional integrity of the nervous tissue, and 3) techniques involving the examination of brainstem refexes in the operating room, which allows for the evaluation of the refex responses that are known to be crucial for most brainstem functions. Tese include the blink refex, which is already in use, and other brainstem refexes that are being explored, such as the masseter H-refex. Tis is still under development but is likely to have important functional consequences. Today an abundant armory of ION methods is available for the monitoring and mapping of the functional integrity of the brainstem during surgery. ION methods are essential in surgery either in or around the brainstem; they facilitate the removal of lesions and contribute to notable improvements in the functional outcomes of patients.
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등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Neuloh G / 2009 / Intraoperative preservation of corticospinal function in the brainstem / J Neurol Neurosurg Psychiatry 80:417~422
Dong CC / 2005 / Intraoperative facial motor evoked potential monitoring with transcranial electrical stimulation during skull base surgery / Clin Neurophysiol 116:588~596
Deletis V / 2009 / Methodology for intraoperatively eliciting motor evoked potentials in the vocal muscles by electrical stimulation of the corticobulbar tract / Clin Neurophysiol 120:336~341
Deletis V / 2011 / Methodology for intra-operative recording of the corticobulbar motor evoked potentials from cricothyroid muscles / Clin Neurophysiol 122:1883~1889
Strauss C / 1993 / Intraoperative identification of motor areas of the rhomboid fossa using direct stimulation / J Neurosurg 79:393~399
Dong CC / 2005 / Intraoperative facial motor evoked potential monitoring with transcranial electrical stimulation during skull base surgery / Clin Neurophysiol 116:588~596
Deletis V / 2009 / Methodology for intraoperatively eliciting motor evoked potentials in the vocal muscles by electrical stimulation of the corticobulbar tract / Clin Neurophysiol 120:336~341
Deletis V / 2011 / Methodology for intra-operative recording of the corticobulbar motor evoked potentials from cricothyroid muscles / Clin Neurophysiol 122:1883~1889
Strauss C / 1993 / Intraoperative identification of motor areas of the rhomboid fossa using direct stimulation / J Neurosurg 79:393~399
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