モニタリングの設定と判断

Settings and Decisions of Monitoring

Point

・21世紀に入ってから，運動誘発電位，視覚誘発電位，皮質皮質間誘発電位などの有用性が報告され，国内外で術中モニタリングが確実に普及してきている．

・モニタリング法が非常に多岐にわたること，扱う疾患も脳病変にとどまらず脊髄・脊椎病変に及ぶことなどから，解決されていない問題点も多く存在する．

＊本論文中、［Video］マークのある図につきましては、関連する動画を見ることができます（公開期間：2026年6月まで）。

　Since the beginning of the 21st century, as intraoperative monitoring has been steadily spreading in Japan and globally, the values of motor-evoked potentials, visual-evoked potentials, and cortical-evoked potentials have been described. There are a wide variety of monitoring methods; the diseases handled are not limited to brain lesions, but extend also to spinal cord and spinal lesions; and there are many problems that have not yet been solved. Possible precautions are indicated by means of a video of an actual case site. Considerations are presented regarding the setting of this monitoring method, utilized in relatively frequent diseases and associated intraoperative judgments.