Evoked Spinal Cord Potentials: An Illustrated Guide to Physiology, Pharmocology, and Recording Techniques

ISBN-13: 9784431240266 / Angielski / Twarda / 2005 / 215 str.

Koki Shimoji; Jr. William D. Willis

Opis

Techniques using evoked spinal cord potentials (SCPs) have become important clinical tools for monitoring spinal cord surgery and diagnosing spinal cord diseases. This book surveys the neurophysiological and neuropharmacological bases of evoked SCPs with reference to animal studies and to recording those potentials mainly from the spinal epidural space. Generous use of illustrations promotes understanding of the neurophysiological and neuropharmacological backgrounds of monitoring spinal cord functions, and case studies provide additional insight into the monitoring and diagnosis of spinal cord dysfunction and disease. The book is especially useful for students and those new to the fields of clinical neurophysiology, neurosurgery, neurology, orthopedics, and neuroanesthesia. No other text sets forth the terminology of the components of evoked SCPs as clearly as this volume does with its careful use of lucid explanations and illustrations.

Spis treści

Preface Section A: Bases of Understanding the Spinal Cord Chapter 1: Neuroanatomical Considerations Chapter 2: Physiology of the Spinal Cord Chapter 3: Pharmacology of the Spinal Cord Chapter 4: Historical Review of Evoked Spinal Cord Potentials Chapter 5: Recording Methods and Terminology of Evoked Spinal Cord Potentials in Humans Section B: Somatosensory Evoked Spinal Cord Potentials Chapter 1: Segmental SCPs 1.1. Waveform Characteristics 1.2. Comparison with Skin Surface Recordings 1.3. Comparison with Recordings from the Posterior Pharynx 1.4. Origins of the Segmental SCP Chapter 2: Spinal Cord Potentials Evoked by Ascending Volleys Chapter 3: Spinal Cord Potentials Evoked by Descending Volleys Chapter 4: Heterosegmentally Evoked Spinal Cord Potentials Chapter 5: Clinical Pharmacology 5.1. Introduction 5.2. Effects of Intravenous Anesthetics 5.3. Effects of Inhalation Anesthetics 5.4. Effects of Opipoids, Local Anesthetics Section C: Motor Evoked SCPs Chapter 1: Transcranial Magnetically Evoked SCPs (TCM-Evoked SCPs) 1.1. Techniques for Recording 1.2. Basic Patterns of TCM-Evoked SCPs 13. Effects of Intravenous Anesthetics 1.4. The Effects of Inhalation Anesthetics Chapter 2: Transcranial Electrically Evoked SCPs (TCE-Evoked SCPs) 2.1: Recording Techniques 2.2: TCE-Evoked SCPS in Animals and Human 2.3: TCE-Evoked Potentials from Muscle and TCS-Evoked SCPs 2.4: Effects of Intravenous and Inhalational Anesthetics Section D: Case Studies (Clinical Applications) Chapter 1: Monitoring by SCPs During Surgical Operations 1.1 Spine Surgery: Scoliosis Surgery 1.2 Spinal Cord Surgery 1.2.1 Dorsal Root Entry Zone Lesion (DREZL) 1.2.2 Spinal Cord Tumor 1.2.3 Sphyngomyelia 1.3 Spinal Cord Hypothermia 1.4 Spinal Cord Ischemia 1.4.1 Somatosensory Evoked SCPs 1.4.2 Motor-Evoked Electromyograms 1.5 Cardiovascular Surgery 1.5.1 Somatosensory Evoked SCPs 1.5.2 Motor-Evoked SCPs Chapter 2: Diagnosis by Spinal Cord Potentials of Spinal Diseases