Abstract
Despite meticulous microsurgical technique there is a postoperative increase in neurological deficit after spinal cord operations, especially in difficult cases like angiomas or intramedullary tumors (4). Spinal cord monitoring is based on the concept of early intraoperative detection of spinal cord function impairment in order to adapt the surgical technique to minimize possible damage to important structures (1, 2, 3, 7, 13,15, 17, 18). The personal judgment of the surgeon is supported by the objective registration of evoked potentials. In this paper, our method and first results will be presented.
This paper is not identical to the work submitted for the Travenol prize, as the latter did not lend itself to a shortened version, necessary for this publication. However, this paper does contain a representative part of the work presented for the prize.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
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)
Brown, R.H., Nash, C.L. Jr.: The “grey zone” in intra-operative S.C.E.P. monitoring. In: Schramm, J., Jones, S.J. (eds.) Spinal cord monitoring. Springer, Berlin Heidelberg New York Tokyo 1985, pp 179–185
Croft, T.J., Brodkey, J.S., Nulsen, F.E.: Reversible spinal cord trauma: a model for electrical monitoring of spinal cord function. J. Neurosurg. 36 402–406 (1972)
Epstein, F., Rhagavendra, N.B., John, R.E., Pritchett, L.: Spinal cord astrocytomas of childhood. Surgical adjuncts and pitfalls. In: Concepts in pediatric neurosurgery. Karger, Basel New York 1985, pp. 224–238
Gonzalez, E.G., Hajdu, M., Keim, H., Brand, L.: Quantification of intraoperative somatosensory evoked potential. Arch. Phys. Rehabil. 65, 721–725 (1984)
Jones, S.J., Carter, L., Edgar, M.A., Morley, T., Ransford, A.O., Webb, P.J.: Experience of epidural spinal cord monitoring in 410 cases. In: Schramm, J., Jones, S.J. (eds.) Spinal cord monitoring. Springer, Berlin Heidelberg New York Tokyo 1985, pp. 215–220
Macon, J.B., Poletti, C.E., Sweet, W.H., Ojemann, R.G., Zervas, N.: Conducted somatosensory evoked potentials during spinal surgery. J. Neurosurg. 57, 354–359 (1984)
Schramm, J.: Spinal cord monitoring - intraoperative Uberwachung der Ruckenmarksfunktion mit evozierten Potentialen. In: Hohmann, D., Kiigelgen, B., Liebig, K. (eds.) Neuroorthopadie III. Springer, Berlin Heidelberg New York 1985
Schramm, J., Hashizume, K., Fukushima, T., Takahahashi, H.: Experimental spinal cord injury produced by slow, graded compression. Alterations of cortical and spinal evoked potentials. J. Neurosurg. 50, 48–57 (1979)
Schramm, J., Shigeno, T., Brock, M.: Clinical signs and evoked response alterations associated with chronic experimental cord compression. J. Neurosurg. 58, 734–741 (1983)
Schramm, J., Krause, R., Shigeno, T., Brock, M.: Experimental investigation on the spinal cord evoked injury potential. J. Neurosurg. 59, 485–492 (1983)
Schramm, J., Romstöck, J., Thurner, F., Fahlbusch, R.: Variance of latencies and amplitudes in SEP monitoring during operation with and without cord manipulation. In: Schramm, J., Jones, S.J. (eds.) Spinal cord monitoring. Springer, Berlin Heidelberg New York Tokyo 1985, pp. 186–196
Schramm, J., Jones, S.J. (eds.): Spinal cord monitoring. Springer, Berlin Heidelberg New York Tokyo 1985
Schramm, J.: Intraoperatives Rückenmarkmonitoring - Eigene Ergeb-nisse und Bestandsaufnahme (submitted for publication) (1985)
Spielholz, N.I., Benjamin, M.V., Engler, G.L., Ransohoff, J.: Somatosensory evoked potentials during compression and stabilization of the spine. Methods and findings. Spine 4/6, 18–20 (1979)
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)
Thurner, F., Schramm, J., Romstöck, J.: Effects of fentanyl and enflurane on cortical and subcortical somatosensory evoked potentials during general anaesthesia in man. In: Schramm, J., Jones, S.J. (eds.) Spinal cord monitoring. Springer, Berlin Heidelberg New York Tokyo 1985
Worth, R.M., Markand, O.N., deRosa, G.P., Warren, C.H.: Intraoperative somatosensory evoked response monitoring during spinal cord surgery. In: Courjon, J., Mauguiere, F., Revol, M. (eds.) Clinical applications of evoked potentials in neurology. Raven Press, New York 1982, pp. 367–373
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1986 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Schramm, J. (1986). Intraoperative Spinal Cord Monitoring. In: Wenker, H., Klinger, M., Brock, M., Reuter, F. (eds) Spinal Cord Tumors Experimental Neurosurgery Neurosurgical Intensive Care. Advances in Neurosurgery, vol 14. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71108-4_4
Download citation
DOI: https://doi.org/10.1007/978-3-642-71108-4_4
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-16360-2
Online ISBN: 978-3-642-71108-4
eBook Packages: Springer Book Archive