Full Description
In recent decades, the advances in and consolidation of Intraoperative Neurophysiological Monitoring (IOM) in several highly complex surgical areas have been undeniable.
Currently all modalities of neurophysiological tests (SSEP, MEP, EMG, PEATC, VEP, BRAIN MAPPING, ETC) are performed in the operating room, where they are used to provide trans operative information on the patient's neurological status in real time (monitoring), and to identify neural structures which are at immediate risk (mapping).
With the inarguably positive impact of IOM on surgical outcomes, there is an increasing interest in reliable, technically focused literature. This volume provides cutting-edge information in the field of IOM, and highlights new neurophysiological tools being used in various surgeries.
The book's initial sections cover a range of topics, including an anatomical overview, electrical safety, and detailed technical descriptions of the neurophysiological tests used inIOM. The subsequent sections address e.g. the brain, brainstem, spinal cord, vascular and peripheral nerves, epilepsy, head and neck, movement disorders and special topics.
Some chapters are accompanied by videos of surgeries and IOM so that the reader will have the real sensation of having been in the operating room and will gain an overview of the key steps.
Written by experts in the field of IOM, the book offers a valuable resource for both experienced and early-career neurophysiologists, neurosurgeons, vascular and orthopedic surgeons, and surgeons involved with pelvic procedures. Further, its goal is to provide a real rapport, never before attained, between neurophysiologists and surgeons with a sole focus: excellence in terms of the final outcome.
Contents
Part I. Overview.- 1. History of Intraoperative Neurophysiological Monitoring in Brazil: Reports from the pioneers and a glance in Latin America.- 2. Intraoperative Neurophysiological Monitoring in Brazil: Regulatory Aspects, Training and Evidence Level.- 3. Muscle Motor Point Atlas and Needling Pitfalls.- 4. Safety and troubleshooting.- 5. Central Nervous System Anesthesia: asleep approach.- Part II. Neurophysiological Modalities Applied to IOM.- 6. Brainstem Auditory Evoked Potential.- 7. Evoked Potential - Visual Pathways Approach beyond Visual Evoked Potentials.- 8. Somatosensory Evoked Potentials.- 9. Motor Evoked Potential.- 10. Intraoperative Monitoring: Electroencephalogram.- 11. Electromyography.- 12. Brainstem Reflexes.- Part III. Brain Functions: Eloquent Areas.- 13. The Brain Surface.- 14. Motor and Somatosensory.- 15. Anesthesia: Awake Approach.- 16. Anatomy- Language Network and DTI.- 17. Awake Surgery: Performing an Awake Craniotomy.- Part IV. Brainstem and Cranial Nerve Function.- 18. Language and Cognitive Tests- A Target-Guided Protocol.- 19. Cranial Nerves Monitoring III to XII.- 20. Fourth Ventricle's Floor Mapping.- 21. Microvascular Decompression.- Part V. Spine and Spinal Cord Surgery.- 22. Spinal Deformity Surgery.- 23. Lumbar Interbody Fusion Surgeries - LIFS.- 24. Cervical Spinal Surgery.- 25. Tethered Cord Syndrome.- 26. Selective Dorsal Rhizotomy and Intraoperative Neurophysiological Monitoring.- 27. Intramedullary Spinal Cord Tumors.- Part VI. Vascular Surgery.- 28. Intraoperative neurophysiologic monitoring of cerebrovascular disorders.- 29. Intraoperative neurophysiologic monitoring for thoracic and thoracoabdominal aortic procedures.- Part VII. Pheripheral Nerve Surgery.- 30. Peripheral Nerve: Neurophysiology as A Tool to Optimize Topographic Accuracy and Surgical Planning.- Part VIII. Head and Neck Surgery.- 31. Monitoring in Facial, Neck and Ear Surgeries.- Part IX. Epilepsy Surgery.- 32. Intraoperative Monitoring in Epilepsy Surgery.- Part X. Movement Disorders Surgery.- 33. Neurophysiological Guidance for Movement Disorder Surgery.- Part XI. Special Topics.- 34. IOM in Pelvic Floor- Gynecological and Urological Surgeries.
