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[桥小脑角区耳蜗神经和前庭神经的电生理鉴定:实验研究及临床意义]

[Electrophysiological identification of the cochlear and vestibular nerves in the cerebellopontine angle: experimental study and clinical implication].

作者信息

Sekiya T, Okabe S, Iwabuchi T, Ottomo M

机构信息

Department of Neurosurgery, Hirosaki University School of Medicine.

出版信息

No Shinkei Geka. 1992 Sep;20(9):947-53.

PMID:1407359
Abstract

Electrical stimulation was applied on the surface of the eighth cranial nerve in the cerebellopontine angle of dogs and the evoked potentials were recorded with surface electrodes on the scalp. The shape of the evoked potentials recorded was different according to the portion of the nerve stimulated electrically. It was, therefore, possible to precisely identify the nerve stimulated from the surface recorded evoked potentials. This electrophysiological method may be helpful for the surgeon to precisely locate the cochlear and vestibular nerves in various operations in the cerebellopontine angle in human. Our preliminary experience of this monitoring method in acoustic neuroma excision was presented.

摘要

在犬的桥小脑角对第八颅神经表面施加电刺激,并使用头皮表面电极记录诱发电位。根据电刺激神经的部位不同,所记录的诱发电位形状也不同。因此,有可能从表面记录的诱发电位精确识别所刺激的神经。这种电生理方法可能有助于外科医生在人类桥小脑角的各种手术中精确地定位耳蜗神经和前庭神经。本文介绍了我们在听神经瘤切除术中应用这种监测方法的初步经验。

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