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Transcranial magnetic stimulation for spinal cord monitoring

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Handbook of Spinal Cord Monitoring

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Abstract

Intraoperative monitoring with somatosensory evoked potentials (SEPs) is a well established methodology. Despite well preserved SEPs severe postoperative motor disability may occur1. Therefore, monitoring of the motor pathways is of great importance. Initial experience with intraoperative MEP monitoring was gained using high-voltage electric stimulation during orthopaedic2 and neurosurgical procedures3. Edmonds et al.4 were the first to apply magnetic transcranial stimulation for intraoperative MEP monitoring during scoliosis surgery. Whereas good results were obtained during scoliosis surgery in neurologically intact patients, the same group reported inability to record MEPs following magnetic stimulation in neurologically impaired patients with spinal cord tumours during nitrous oxidebased anaesthesia5.

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References

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Authors
  1. J. Herdmann
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  2. M. Krzan
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  3. F. Sonnenschein
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  4. C. B. Lumenta
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Editor information

Editors and Affiliations

  1. Department of Clinical Neurophysiology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK

    S. J. Jones

  2. Royal National Orthopaedic Hospital, Brockley Hill, Stanmore Middlesex, HA7 4LP, UK

    M. Hetreed

  3. Department of Clinical Neurophysiology, The Hospital for Sick Children, Great Ormond Street, London, WC1N 3JH, UK

    S. Boyd

  4. Clinical Neurophysiology Department Queen’s Medical Centre, University Hospital, Nottingham, NG7 2UH, UK

    N. J. Smith

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© 1994 Springer Science+Business Media Dordrecht

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Herdmann, J., Krzan, M., Sonnenschein, F., Lumenta, C.B. (1994). Transcranial magnetic stimulation for spinal cord monitoring. In: Jones, S.J., Hetreed, M., Boyd, S., Smith, N.J. (eds) Handbook of Spinal Cord Monitoring. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-1416-5_42

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  • DOI: https://doi.org/10.1007/978-94-011-1416-5_42

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4619-0

  • Online ISBN: 978-94-011-1416-5

  • eBook Packages: Springer Book Archive

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