Summary
This chapter reviews and suggests remedies for some of the common problems and pitfalls that may be encountered when sensory evoked potentials are recorded in the operating room to monitor the auditory and somatosensory system, and when electromyographic potentials are recorded intraoperatively for monitoring of cranial motor nerves.
In a new discipline such as that encompassing the use of evoked potentials in intraoperative monitoring, problems and pitfalls are many. Therefore this chapter naturally cannot provide complete coverage of what can go wrong in the operating room and how recordings can be misinterpreted, but it must instead focus on a small sample of the problems that can be encountered by the neurophysiologist performing intraoperative monitoring of evoked potentials.
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References
Cedzich C, Schramm J, Mengedoht CF, Fahlbusch R (1988) Factors that limit the use of flash visual evoked potentials for surgical monitoring. Electroenceph Clin Neurophysiol 71: 142–145
Chiappa KH (1983) Evoked Potentials in Clinical Medicine. Raven Press, New York
Levine RA, Ojemann RG, Montgomery WW, McGaffigan PM (1984) Monitoring auditory evoked potentials during acoustic neuroma surgery. Insights into the mechanisms of hearing loss. Ann Otol Rhinol Laryngol 93: 116–123
Lueders H, Gurd A, Hahn J, Andrish J, Weiker G, Klem G (1982) A new technique for intraoperative monitoring of spinal cord function: Multichannel recording of spinal cord and subcortical evoked potentials. Spine 7: 110–115
Lueders H, Lesser R, Hahn J, Little J, Klem G (1983) Subcortical somatosensory evoked potentials to median nerve stimulation. Brain 106: 341–372
Møller AR (1987) Electrophysiological monitoring of cranial nerves in operations in the skull base. In Sekhar LN, Schramm VL (eds) Tumors of the Cranial Base: Diagnosis and Treatment. Futura Publ., Mt. Kisco, New York, pp 123–132
Møller AR (1988a) Evoked Potentials in Intraoperative Monitoring. Williams & Wilkins, Baltimore
Møller AR (1988b) Use of zero-phase digital filters to enhance brainstem auditory evoked potentials (BAEPs). Electroenceph Clin Neurophysiol 71: 226–232
Møller AR, Jannetta PJ (1983) Monitoring auditory functions during cranial nerve microvascular decompression operations by direct recording from the eighth nerve. J Neurosurg 59: 493–499
Møller AR, Jannetta PJ (1984) Preservation of facial function during removal of acoustic neuromas: Use of monopolar constant-voltage stimulation and EMG. J Neurosurg 61: 757–760
Ojemann RG, Levine RA, Montgomery WM, McGaffigan PM (1984) Use of intraoperative auditory evoked potentials to preserve hearing in unilateral acoustic neuroma removal. J Neurosurg 61: 938–948
Sekhar LN, Møller AR (1986) Operative management of tumors involving the cavernous sinus. J Neurosurg 64: 879–889
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© 1991 Springer-Verlag Berlin Heidelberg
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Møller, A.R. (1991). Some Common Problems and Pitfalls in Intraoperative Monitoring of Evoked Potentials. In: Schramm, J., Møller, A.R. (eds) Intraoperative Neurophysiologic Monitoring in Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75750-1_5
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DOI: https://doi.org/10.1007/978-3-642-75750-1_5
Publisher Name: Springer, Berlin, Heidelberg
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