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Evozierte Potentiale in Klinik und Praxis pp 239–263Cite as

Evozierte Potentiale in der intraoperativen Überwachung

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Part of the book series: Kliniktaschenbücher ((KTB))

Zusammenfassung

Die Reduktion operativ bedingter neurologischer Funktionsstörungen bei Eingriffen am zentralen Nervensystem ist ein geradezu historisches Bemühen der Neurochirurgen. Auch andere Fachrichtungen können im Rahmen ihrer Eingriffe mit einem neurologischen Ausfall konfrontiert werden: Rückenmarksläsionen bei Aortenchirurgie, Hörnervenausfälle bei kleinen Akustikusneurinomen in der Hals-Nasen-Ohren-Heilkunde, Hirninsulte bei der Karotis-chirurgie oder bei endovaskulären therapeutischen Eingriffen der Neuroradiologen. Mit der Einführung neuer Techniken in der Neurochirurgie (z.B. Mikroskop, Ultraschallsauger, Laser) kam es zu einer Verbesserung der operativen Resultate, gleichzeitig war die Ausdehnung in bisher nicht betretene Indikationsbereiche möglich geworden. Damit war der Bedarf für eine intraoperative Überwachung neurologischer Funktionen verstärkt gegeben, denn diese beschränkte sich auf die Registrierung der Herzfrequenz, des Blutdrucks und eventuell der Spontanatmung. Erste Impulse zur intraoperativen Überwachung neurologischer Funktionen kamen von den Wirbelsäulenchirurgen, die den „Aufwachtest“ einführten.

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Authors
  1. J. Schramm
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Editors and Affiliations

  1. Klinikum Barmen, Neurol. Klinik Wuppertal, Heusnerstraße 40, 5600, Wuppertal 2, Deutschland

    Johannes Jörg

  2. Neurol. Klinik am Evangel. Krankenhaus Gelsenkirchen, Munckelstraße 27, 4650, Gelsenkirchen, Deutschland

    Horst Hielscher

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© 1989 Springer-Verlag Berlin Heidelberg

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Schramm, J. (1989). Evozierte Potentiale in der intraoperativen Überwachung. In: Jörg, J., Hielscher, H. (eds) Evozierte Potentiale in Klinik und Praxis. Kliniktaschenbücher. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97141-9_8

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  • DOI: https://doi.org/10.1007/978-3-642-97141-9_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-50465-8

  • Online ISBN: 978-3-642-97141-9

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