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
- 2018.1
- 수록면
- 98 - 105 (8page)
이용수
초록· 키워드
오류제보하기
Objective: To evaluate whether the increase of the amplitude of motor evoked potentials (MEPs) during surgery can imply favorable prognosis postoperatively in spinal cord tumor surgery. Method: MEPs were monitored in patients who underwent spinal cord tumor surgery between March 2016 and March 2018. Amplitude changes at the end of monitoring compared to the baselines in limb muscle were analyzed. Minimum and maximum changes were set to MEPmin (%) and MEPmax (%). Strengths of bilateral 10 key muscles which were documented a day before (Motorpre), 48 h (Motor48h) and 4 weeks (Motor4wk) after the surgery were reviewed. Results: Difference of Motor48h from Motorpre (Motor48h-pre) and Motor4wk from Motorpre (Motor4wk-pre) positively correlated with MEPmin, suggesting that smaller the difference of MEPs amplitude, less recovery of muscle strength. There was a negative correlation between the amount of bleeding and MEPmin, indicating that the greater the amount of bleeding, the smaller the MEPmin, implying that MEPs amplitude is less likely to improve when the amount of bleeding is large. It also showed significant difference between patients with improved or no change of motor status and patients with motor deterioration after surgery according to anatomical tumor types. Conclusion: Improve of muscle strength was less when the increase of MEPs amplitude was small, and improvement of MEPs amplitude was less when the amount of bleeding was large. Correlation between changes of status of muscle strength after surgery and tumor types was observed. With amplitude increase in MEPs monitoring, restoration of muscle strength can be expected.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Lall RR / 2012 / Intraoperative neurophysiological monitoring in spine surgery: indications, efficacy, and role of the preoperative checklist / Neurosurg Focus 33:E10
Magit DP / 2007 / Questionnaire study of neuromonitoring availability and usage for spine surgery / J Spinal Disord Tech 20:282~289
Park J-H / 2015 / Intraoperative neurophysiological monitoring in spinal surgery / World Journal of Clinical Cases 3:765~773
Shin Hye Chang / 2016 / Monitoring of Motor and Somatosensory Evoked Potentials During Spine Surgery: Intraoperative Changes and Postoperative Outcomes / Annals of Rehabilitation Medicine 40(3):470~480
Macdonald DB / 2007 / Four-limb muscle motor evoked potential and optimized somatosensory evoked potential monitoring with decussation assessment:results in 206 thoracolumbar spine surgeries / Eur Spine J 16(Suppl 2):S171~S187
Magit DP / 2007 / Questionnaire study of neuromonitoring availability and usage for spine surgery / J Spinal Disord Tech 20:282~289
Park J-H / 2015 / Intraoperative neurophysiological monitoring in spinal surgery / World Journal of Clinical Cases 3:765~773
Shin Hye Chang / 2016 / Monitoring of Motor and Somatosensory Evoked Potentials During Spine Surgery: Intraoperative Changes and Postoperative Outcomes / Annals of Rehabilitation Medicine 40(3):470~480
Macdonald DB / 2007 / Four-limb muscle motor evoked potential and optimized somatosensory evoked potential monitoring with decussation assessment:results in 206 thoracolumbar spine surgeries / Eur Spine J 16(Suppl 2):S171~S187
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