Intraoperative Neurophysiological Monitoring

ISBN-13: 9781441974358 / Angielski / Twarda / 2010 / 403 str.

Aage R. Moller

Opis

Intraoperative neurophysiological monitoring (IOM) has proven itself a versatile technique that reduces the risks of acquiring intraoperative neurological deficits, shortens operating time, and lowers the costs of medical care and rehabilitation. It can also reduce the risks of medical malpractice suits and serve as a research tool to better understand nervous system disorders and promote improved treatments. In Intraoperative Neurophysiological Monitoring, Second Edition, the premier authority on the subject, Aage R. Moller, has extensively expanded and rewritten his highly regarded first edition to create a comprehensive, up-to-date reference on IOM techniques and their anatomical and physiological basis. In addition, the author has added new material on the monitoring of the spinal motor system, sensory systems, peripheral nerves, and in skull base surgery. Writing as a pioneer and leader in the field, Dr. Moller provides practical information about how to perform electrophysiological recordings in the operating room, interpret the results, and present them to the surgeon. Included are descriptions of methods for guiding the surgeon in such operations as microvascular decompression and the implantation of electrodes for deep brain stimulation and auditory prostheses. Methods for mapping of the cerebral cortex, the brainstem, and the spinal cord are also described, as well as practical procedures for monitoring cranial motor nerves. Practical aspects of IOM including requirements of equipment, reducing electrical and magnetic interference, and how to work with other teams in the operating room are discussed in detail. Comprehensive and up-to-date, Intraoperative Neurophysiological Monitoring, Second Edition, is an authoritative survey of the theoretical and practical knowledge needed to reduce the risks that occur in surgical operations impacting the nervous system.

Recenzje

From the reviews of the third edition:

"The author provides the reader with an easy-to-read overview of IOM technology and background involved in monitoring the nervous system with evoked potentials (EPs) and electromyography (EMG). ... This book will be useful especially for IOM technologists and monitorists, for whom it can serve as an introductory text. It also will be useful for surgeons who use monitoring in their cases, who may find this an instructive way to better understand the IOM techniques and their limitations." (Marc R. Nuwer, Surgical Neurology International, Vol. 3, 2012)

Spis treści

1. Introduction SECTION I: PRINCIPLES OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING 2. Basis of intraoperative neurophysiological monitoring 3. Generation of electrical activity in the nervous system and muscles 4. Practical aspects of recording evoked activity from nerves, fiber tracts and nuclei References to Section I SECTION II: SENSORY SYSTEMS 5. Anatomy and physiology of sensory systems 6. Monitoring somatosensory evoked potentials 7. Monitoring auditory evoked potentials 8. Monitoring visual evoked potentials References to Section II SECTION III: MOTOR SYSTEMS 9. Anatomy and physiology of motor systems 10. Practical aspects of monitoring spinal motor systems 11. Practical aspects of monitoring cranial motor nerves References to Section III SECTION IV: PERIPHERAL NERVES 12. Anatomy and physiology of peripheral nerves 13. Practical aspects of monitoring peripheral nerves References to Section IV SECTION V: INTRAOPERATIVE RECORDINGS THAT CAN GUIDE THE SURGEON IN THE OPERATION 14. Identification of specific neural tissue 15. Intraoperative diagnosis and guidance in an operation References to Section V SECTION VI: PRACTICAL ASPECTS OF ELECTROPHYSIOLOGIC RECORDING IN THE OPERATING ROOM 16. Anesthesia and its constraints in monitoring motor and sensory systems 17. General considerations about intraoperative neurophysiological and monitoring 18. Equipment, recording technique and data analysis and stimulation 19. Evaluating the benefits of intraoperative neurophysiological monitoring

Blurb

The third edition of this classic text again provides practical, comprehensive coverage of the anatomical and physiological basis for intraoperative neurophysiological monitoring. Written by a leading authority in the field, Dr. Aage Moller has updated this important title to again offer all the leading-edge knowledge needed to perform electrophysiological recordings in the operating room, to interpret the results, and to present the results to the surgeon. The field known as "intraoperative monitoring" has expanded rapidly to cover other uses of neurophysiology and electrophysiologic recordings during surgical operations that affect the brain, spinal cord, and other parts of the nervous system. These new areas are covered in this new edition. To better represent the content of the book and the field as it now stands, many of the chapters have been revised and new material has been added. While the general organization of the book is maintained, chapters such as monitoring of motor systems have been revised and extended with new material, including more detailed description of the anatomy and physiology of motor systems and new information about intraoperative monitoring.