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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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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