雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Intraoperative Spinal Cord Monitoring during Surgery for Spinal Cord Tumors Muneharu Ando 1 , Yoshio Enyo 1 , Motohiro Okada 1 , Kazunori Nomura 1 , Yukihiro Nakagawa 1 , Akihito Minamide 1 , Hiroshi Hashizume 1 , Mamoru Kawakami 1 , Munehito Yoshida 1 , Shunji Tsutsui 2 , Hiroshi Yamada 3 , Hiroshi Iwasaki 4 , Tetsuya Tamaki 5 1Department of Orthopaedic Surgery, Wakayama Medical University 2Department of Orthopaedic Surgery, Shiungu Medical Center 3Department of Orthopaedic Surgery, Wakayama Rosai Hospital 4Department of Orthopaedic Surgery, Kinan Hospital 5Aitoku Medical and Welfare Center Keyword: intraoperative spinal cord monitoring , 術中脊髄機能モニタリング , multimodality monitoring , 多元的モニタリング , spinal cord tumor , 脊髄腫瘍 pp.405-413
Published Date 2006/4/1
DOI https://doi.org/10.11477/mf.1408100293
  • Abstract
  • Look Inside
  • Reference

 We evaluated the efficacy and limitations of intraoperative spinal cord monitoring during 92 spinal cord tumor operations. During operations for intramedullary tumors, the multimodality monitoring method for observing both sensory and motor systems was useful for avoiding false-negative case. The muscle-evoked potential after electrical stimulation to the brain 〔Br(E)-MsEP〕 carries the risk of not being able to detect nerve root injury during surgery for dumbbell-type tumors. To monitor nerve root function effectively, a monitoring method other than Br(E)-MsEP should be performed. Furthermore, when the damage to spinal cord function worsens, evoked potentials for spinal cord monitoring cannot be elicited. To perform surgery for spinal cord tumors safely, the surgeon should keep in mind at which operative stages the evoked potentials for spinal cord monitoring can be recorded.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

関連文献

もっと見る

文献を共有