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Intraoperative Neurophysiology During Intracranial Surgery in Children

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Textbook of Pediatric Neurosurgery

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Abstract

Over the past 15 years, intraoperative neurophysiological monitoring (IONM) has established itself as an important clinical discipline. The main goals of IONM are first to prevent neurological deficits, second to predict neurological outcome, third to document the surgical step when an injury occurred. Both so-called mapping and monitoring techniques can be used.

While the principles of most IONM techniques are the same for adults and children, the developing nervous system has peculiar characteristics in terms of anatomical and physiological maturation of brain and spinal cord pathways. Accordingly, some adjustments are needed, especially in younger children.

This chapter will review the state-of-the-art of IONM techniques that can assist the pediatric neurosurgeon when dealing with lesions in eloquent areas of the brain and the brainstem.

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Authors and Affiliations

  1. Institute of Neurosurgery, Division of Pediatric Neurosurgery, University Hospital, Verona, Italy

    Francesco Sala & Angela Coppola

  2. Regional Centre for Pediatric Neurosurgery, Kaiser Permanente Hospitals, Northern California, Oakland, CA, USA

    Yong Jin Hou & Dachling Pang

Authors
  1. Francesco Sala
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  2. Angela Coppola
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  3. Yong Jin Hou
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  4. Dachling Pang
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Corresponding author

Correspondence to Francesco Sala .

Editor information

Editors and Affiliations

  1. International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Oakland Medical Center, Oakland, California, USA

    Dachling Pang

  3. University of Toronto Hospital for Sick Children, Toronto, Ontario, Canada

    James T. Rutka

Section Editor information

  1. University of California, Davis, Davis, CA, USA

    Dachling Pang

  2. Department of Paediatric Neurosurgery, Kaiser Permanente Medical Centre, 3600 Broadway Street, Third Floor, Suite 39, 94611, Oakland, CA, USA

    Dachling Pang

  3. Great Ormond Street Hospital for Children, NHS Trust, London, UK

    Dachling Pang

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Sala, F., Coppola, A., Hou, Y.J., Pang, D. (2017). Intraoperative Neurophysiology During Intracranial Surgery in Children. In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31512-6_143-1

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  • DOI: https://doi.org/10.1007/978-3-319-31512-6_143-1

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