Abstract
Somatosensory-evoked potentials (SEPs) have been used for monitoring spinal cord integrity during surgery for more than a decade. Early detection of significant changes in the SEPs may indicate early and reversible spinal cord dysfunction, thus permitting appropriate measures to be taken to prevent irreversible spinal cord damage. Intraoperative spinal cord damage usually results form ischemia, mechanical effects of compression or distraction, or both.
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References
Allen, A., Starr, A., Nudleman, K.: Assessment of sensory function in the operating room utilizing cerebral evoked potentials: A study of fifty-six surgically anesthetized patients. Clin, Neurosurg., 28::457–481, 1981.
Bennett, M.H.: Effects of compression and ischemia on spinal cord evoked potentials. Exp. Neurol., 80:508–519, 1983.
Brodkey, J.S., Richard, D.E., Blasingame, J.P., Nulsen, F.E.: Reversible spinal cord trauma in cats: additive effects of direct pressure and ischemia. J. Neurosurg., 37:591–593, 1972.
Brown, J.C. Axelgaard, J., Rowe, D.E.: Monitoring of the human spinal cord. (Abstract) Orthop. Trans., 3:123, 1979.
Coles, J.G., Wilson, G.J., Sima, A.F., Klement, P.J., Tait, G.A.: Intraoperative detection of spinal cord ischemia using somatosensory cortical evoked potentials during thoracic aortic occlusion. Ann. Thorac. Surg., 34:299–306, 1982.
Croft, T.J., Brodkey, J.S., Nulsen, F.E.: Reversible spinal cord trauma: a model for electrical monitoring of spinal cord function. J. Neurosurg., 36:299–306, 1972.
Cusick, J.F., Myklebust, J.F., Larson, S.J., Sances, A., Jr.: Spinal cord potentials in the primate: neural substrate. J. Neurosurg., 49:551–557, 1978.
D’Angelo, C.M., Van Gilder, J.C, Taur, A.: Evoked cortical potentials in experimental spinal cord trauma. J. Neurosurg., 38:332–336, 1973.
Deecke, L., Tator, CH.: Neurophysiological assessment of afferent and efferent conduction in the injured spinal cord of monkeys. J. Neurosurg., 39:65–74, 1973.
Dinner, D.S., Luders, H., Lesser, R.P., Morris, H.H., Barnett, G., Klem, G.: Spinal intraoperative somatosensory-evoked potential monitoring. J. Neurosurg., 65:807–814, 1986.
Dolan, E.J., Transfeldt, E.E., Tator, C.H., Simmons, E.H., Hughes, K.F.: The effect of spinal distraction on regional spinal cord blood flow in cats. J. Neurosurg., 53:756–764, 1980.
Engler, G.L., Spieholz, N.I., Bernhard, W.N., Danziger, F., Merkin, H., Wolff, T.: Somatosensory-evoked potentials during Harrington instrumentation for scoliosis. J. Bone. Joint. Surg., [Am] 60:528–532, 1978.
Giblin, D.R.: Somatosensory-evoked potentials in healthy subjects and in patients with lesions of the nervous system. Ann. NY Acad. Sci., 112:93–142, 1964.
Griffiths, I.R., Trench, J.G., Crawford, R.A.: Spinal cord blood flow and conduction during experimental cord compression in mormotensive and hypotensive dogs. J. Neurosurg., 50:353–360, 1979.
Hahn, J., Lesser, R.P., Klem, S., Luders, H.: Simple technique for monitoring intraoperative spinal cord function. J. Neurosurg., 9:692–695, 1981.
Halliday, A.M., Wakefield, G.S.: Cerebral evoked responses in patients with dissociated sensory loss. (Abstract) Electroencephalogr. Clin. Neurophysiol., 14:785–790, 1962.
Jones, S.J., Edgar, M.A., Ransford, A.O., Thomas, N.P.: A system for the electrophysiological monitoring of the spinal cord during operations for scoliosis. J. Bone Joint Surg., [Br] 65:134–139, 1983.
Klem, G., Andrish, J., Gurd, A., Weiker, G., Luders, H.: Spinal cord potentials recorded form ligamentum interspinalis. Electroencephalogr. Clin. Neurophysiol., 50:221, 1980.
Kobrine, A.I., Evans, D.E., Rizzoli, H.V.: Correlation of spinal cord blood flow, sensory evoked response, and spinal cord function in subacute experimental spinal cord compression. In: Cervos-Navarro, J., Betz, E., Ebhardt, G., Ferszt, R., Wullenweber, R. eds. New York: Raven Press, 389–394, 1978. (Advances in Neurology; vol. 20).
La Mont, R.L., Wasson, S.L., Green, M.A.: Spinal cord monitoring during spinal surgery using somatosensory spinal evoked potentials. J. Pediatr. Orthop., 3:31–36, 1983.
Larson, S.J., Sances, A., Jr., Christenson, P.C.: Evoked somatosensory potentials in man. Arch. Neurol., 15:88–93, 1966.
Larson, S.J., Walsh, P.R., Sances, A., Jr., Cusick, J.F., Hemmy, D.C., Mahler, H.: Evoked potentials in experimental myelopathy. Spine 5:299–302, 1980.
Luders, H., Gurd, A., Hahn, J., Andrish, H., Weiker, G., Klem, G.: A new technique for intraoperative monitoring of spinal cord function. Spine 7:110–115, 1982.
Luders, H., Andrish, J., Gurd, A., Weiker, G., Klem, G.: Origin of far-field subcortical potentials evoked by stimulation of the posterior tibial nerve. Electroenceph. Clin. Neurophysiol., 52:336–344, 1981.
Maccabee, P., Levin, D.B., Kahanovitz, N., Pinkhosov, E.: Monitoring of spinal and subcortical somatosensory-evoked potentials during Harrington rod instrumentation. Orthop. Trans., 6:19, 1982.
MacEwen, G.D., Bunnell, W.P., Sriram, K.: Acute neurological complications in the treatment of scoliosis. J. Bone Joint Surg., [Am] 57:404–408, 1975.
Macon, J.B., Pletti, C.E., Sweet, W.H., Ojemann, R.G., Zervas, N.T.: Conducted somatosensory-evoked potentials during spinal surgery. Part 2: Clinical applications. J. Neurosurg., 57:354–359, 1982.
McCallum, J.E., Bennett, M.H.: Electrophysiologic monitoring of spinal cord function during intraspinal surgery. Surg. Forum. 26:469–471, 1975.
McNeal, D., Passoff, T., Swank, S., Satomi, K.: Spinal cord monitoring using epidural electrodes for stimulation and recording. Orthop. Trans., 6:19, 1982.
Nash, C.L., Lorig, R.A., Schatzinger, L.A., Brown, R.H.: Spinal cord monitoring during operative treatment of the spine. Clin. Orthop., 126:100–105, 1977.
Nordwall, A., Axelgaard, J., Harada, Y., Valencia, P., McNeal,, D.R., Brown, J.C.: Spinal cord monitoring using evoked potentials recorded from feline vertebral bone. Spine 4:486–494, 1979.
Nuwer, M.R., Dawson, E.C.: Intraoperative evoked potentials monitoring of the spinal cord: a restricted filter, scalp method during Harrington instrumentation for scoliosis. Clin. Orthop. 183:42–50, 1984.
Schramm, J., Hashizume, K., Fukushima, T. Takahashi, H.: Experimental spinal cord injury produced by slow, graded compression: alterations of cortical and spinal evoked potentials. J. Neurosurg., 50:48–57, 1979.
Spielholz, N.I., Benjamin, M.V., Engler, G.L., Ransohoff, J.: Somatosensory-evoked potentials during decompression and stabilization of the spine. Methods and findings. Spine 4:500–505, 1979.
Tamaki, T., Noguchi, T., Takano, H., Tsuji, H., Nakagawa, T., Imai, K., and Inoue, S.: Spinal cord monitoring as a clinical utilization of the spinal evoked potentials. Clin. Orthop., 184:58–64, 1984.
Tamaki, T., Tsuji, H., Inoue, S., Kobayashi, H.: The prevention of iatrogenic spinal cord injury utilizing the evoked spinal cord potential. Int. Orthop., 4:313–317, 1981.
Tsuji, S., Luders, H., Lesser, R.P., Dinner, D.S., and Klem, G.: Subcortical and cortical somatosensory potentials evoked by posterior tibial nerve stimulation: Normative values. Electroenceph. and Clin. Neurophysiol., 59:214–228, 1984.
Tsuyama, N., Tsuzuki, N., Kurokawa, T., Imai, T.: Clinical application of spinal cord action potential movement. Int. Orthop., 2:39–46, 1978.
Wilber, R.G., Thompson, G.H., Shaffer, J.W., Brown, R.H., Nash, C.L.: Postoperative neurological deficits in segmental spinal instrumentation: a study using spinal cord monitoring. J. Bone Joint Surg., [Am] 66:1178–1187, 1984.
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Dinner, D.S., Luders, M.D.H., Lesser, R.P., Morris, H.H., Barnett, G., Klem, G. (1990). Invasive Somatosensory-Evoked Potential Monitoring. In: Salzman, S.K. (eds) Neural Monitoring. Neurotrauma. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-0491-6_9
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DOI: https://doi.org/10.1007/978-1-4612-0491-6_9
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