Intraoperative neurophysiology of the motor system in children: a tailored approach View Full Text


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Article Info

DATE

2010-02-10

AUTHORS

Francesco Sala, Paolo Manganotti, Stefan Grossauer, Vincenzo Tramontanto, Carlo Mazza, Massimo Gerosa

ABSTRACT

IntroductionIntraoperative neurophysiology has moved giant steps forward over the past 15 years thanks to the advent of techniques aimed to reliably assess the functional integrity of motor areas and pathways.Intraoperative neurophysiological techniquesMotor evoked potentials recorded from the muscles and/or the spinal cord (D-wave) after transcranial electrical stimulation allow to preserve the integrity of descending pathways, especially the corticospinal tract (CT), during brain and spinal cord surgery. Mapping techniques allow to identify the motor cortex through direct cortical stimulation and to localize the CT at subcortical levels during brain and brainstem surgery. These techniques are extensively used in adult neurosurgery and, in their principles, can be applied to children. However, especially in younger children, the motor system is still under development, making both mapping and monitoring techniques more challenging.SummaryIn this paper, we review intraoperative neurophysiological techniques commonly used in adult neurosurgery and discuss their application to pediatric neurosurgery, in the light of preliminary experience from our and other centers. The principles of development and maturation of the motor system, and especially of the CT, are reviewed focusing on clinical studies with transcranial magnetical stimulation. More... »

PAGES

473-490

References to SciGraph publications

  • 2007-08-01. History of the development of intraoperative spinal cord monitoring in EUROPEAN SPINE JOURNAL
  • 2004-05-07. Intraoperative electrical stimulation mapping as an aid for surgery of intracranial lesions involving motor areas in children in CHILD'S NERVOUS SYSTEM
  • 2004-01. Improved neuromonitoring during spinal surgery using double-train transcranial electrical stimulation in MEDICAL & BIOLOGICAL ENGINEERING & COMPUTING
  • 2004-07. Influence of electrode impedance on threshold voltage for transcranial electrical stimulation in motor evoked potential monitoring in MEDICAL & BIOLOGICAL ENGINEERING & COMPUTING
  • 1998. Intraoperative neurophysiology of the corticospinal tract in SPINAL CORD MONITORING
  • 2002-06-13. Intraoperative neurophysiological monitoring in pediatric neurosurgery: why, when, how? in CHILD'S NERVOUS SYSTEM
  • 2002-12-12. Neurophysiological evaluation of the corticospinal tract by D-wave recordings in young children in CHILD'S NERVOUS SYSTEM
  • 2004. Motor Evoked Potential Monitoring for Spinal Cord and Brain Stem Surgery in ADVANCES AND TECHNICAL STANDARDS IN NEUROSURGERY
  • 2006-06-28. Transcranial motor-evoked potentials monitoring can detect spinal cord ischemia more rapidly than spinal cord-evoked potentials monitoring during aortic occlusion in rats in EUROPEAN SPINE JOURNAL
  • 1999-12. Comparison Between Monopolar and Bipolar Electrical Stimulation of the Motor Cortex in ACTA NEUROCHIRURGICA
  • 1980-05. Stimulation of the cerebral cortex in the intact human subject in NATURE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00381-009-1081-6

    DOI

    http://dx.doi.org/10.1007/s00381-009-1081-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1019046856

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/20145936


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