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Application of intraoperative spinal cord monitoring to neurosurgery

  • Chapter
Handbook of Spinal Cord Monitoring

Abstract

Electrophysiological monitoring of spinal cord functions is relevant to the surgical management of spinal lesions in three respects:

  • — Preoperatively, it contributes to the determination of the localization and degree of dysfunction and, by that, to the clarification of candidacy for surgery.

  • — Postoperatively, it becomes part of a follow-up programme for the control of effects of surgical treatment.

  • — Intraoperatively, it is employed to detect acute additional spinal cord lesions before they become irreversible. If acute intraoperative deterioration of spinal cord function is suspected to be due to risky (though sometimes unavoidable) surgical manoeuvres, the occurrence of monitoring ‘events’1 may motivate ad hoc changes in operative strategy. Intraoperative monitoring is thus intended to prevent additional postoperative neurological deficits.

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Authors
  1. M. Kurthen
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  2. J. Schramm
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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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Kurthen, M., Schramm, J. (1994). Application of intraoperative spinal cord monitoring to neurosurgery. 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_5

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  • DOI: https://doi.org/10.1007/978-94-011-1416-5_5

  • 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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