Intraoperative Neurophysiologic Monitoring for Degenerative Cervical Myelopathy

Masaaki Takeda; Satoshi Yamaguchi; Takafumi Mitsuhara; Masaru Abiko; Kaoru Kurisu

doi:10.1016/j.nec.2017.09.012

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Intraoperative Neurophysiologic Monitoring for Degenerative Cervical Myelopathy

Journal article

Peer reviewed

Intraoperative Neurophysiologic Monitoring for Degenerative Cervical Myelopathy

Masaaki Takeda, Satoshi Yamaguchi, Takafumi Mitsuhara, Masaru Abiko and Kaoru Kurisu

Neurosurgery clinics of North America, Vol.29(1), pp.159-167

01/2018

DOI: 10.1016/j.nec.2017.09.012

PMID: 29173429

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Abstract

Multimodal intraoperative neurophysiologic monitoring is a reliable tool for detecting intraoperative spine injury and is recommended during surgery for degenerative cervical myopathy (DCM). Somatosensory evoked potential (SEP) can be used to monitor spine and peripheral nerve injury during positioning in surgery for DCM. Compensation technique for transcranial evoked muscle action potentials (tcMEPs) should be adopted in intraoperative monitoring during surgery for DCM. Free-running electromyography is a useful real-time monitoring add-on modality in addition to SEP and tcMEP.

Cervical Vertebrae - surgery

Evoked Potentials, Somatosensory - physiology

Intraoperative Neurophysiological Monitoring

Evoked Potentials, Motor - physiology

Humans

Electromyography

Cervical Vertebrae - physiopathology

Spondylosis - surgery

Spondylosis - physiopathology

Details

Title: Subtitle: Intraoperative Neurophysiologic Monitoring for Degenerative Cervical Myelopathy
Creators: Masaaki Takeda - Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima City, Hiroshima, Japan. Electronic address: tkdmsk@hiroshima-u.ac.jp
Satoshi Yamaguchi - Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima City, Hiroshima, Japan
Takafumi Mitsuhara - Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima City, Hiroshima, Japan
Masaru Abiko - Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima City, Hiroshima, Japan
Kaoru Kurisu - Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima City, Hiroshima, Japan
Resource Type: Journal article
Publication Details: Neurosurgery clinics of North America, Vol.29(1), pp.159-167
Publisher: United States
DOI: 10.1016/j.nec.2017.09.012
PMID: 29173429
ISSN: 1042-3680
eISSN: 1558-1349
Language: English
Date published: 01/2018
Academic Unit: Neurosurgery
Record Identifier: 9984040380702771

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