Abstract
Initially, the purpose of intraoperative neurophysiological monitoring was to reduce the risks of permanent injuries to the nervous system that may cause neurologic deficits, muscles spasm, tinnitus, or pain. This is still the main purpose of using electrophysiological methods in the operating room, but now such techniques are also used for a wide range of purposes, and it has been suggested to use the name intraoperative neurophysiology for all uses of neurophysiological techniques in the operating room. These areas of intraoperative neurophysiology now include intraoperative mapping of structures such as the cerebral cortex and the spinal cord, intraoperative diagnosis such as of peripheral nerves, specific guidance regarding microvascular decompression (MVD) operations for hemifacial spasm (HFS), and for finding the best anatomical location for implantation of electrodes for deep brain stimulation (DBS). Such tasks have become important parts of intraoperative neurophysiology.
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References
MacDonald DB (2002) Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring. J. Clin. Neurophysiol. 19:416–29.
Išgum V and V Deletis, (2004) Electrical Safety in the Operating Theatre, in Neurophysiology in Neurosurgery, V Deletis and JL Shils, Editors. 2004, Academic Press: Amsterdam.
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© 2011 Springer Science+Business Media, LLC
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Møller, A.R. (2011). General Considerations About Intraoperative Neurophysiology and Monitoring. In: Intraoperative Neurophysiological Monitoring. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7436-5_17
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DOI: https://doi.org/10.1007/978-1-4419-7436-5_17
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