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利用运动诱发电位对中枢神经系统进行多模态监测。

Multimodality monitoring of the central nervous system using motor-evoked potentials.

作者信息

Sloan Tod B, Janik Daniel, Jameson Leslie

机构信息

Department of Anesthesiology, University of Colorado at Denver, Denver, Colorado 80045, USA.

出版信息

Curr Opin Anaesthesiol. 2008 Oct;21(5):560-4. doi: 10.1097/ACO.0b013e32830f1fbd.

Abstract

PURPOSE OF REVIEW

This review was conducted to examine the role of motor-evoked potential monitoring in spine and central nervous system surgery to determine whether other monitoring modalities such as the wake-up test or somatosensory-evoked potentials can be eliminated.

RECENT FINDINGS

The current literature suggests that motor-evoked potential, despite some advantages, still requires that other monitoring modalities such as somatosensory-evoked potentials or electromyography be used to provide optimal monitoring.

SUMMARY

The literature supports the use of multimodality monitoring using all of the electrophysiological techniques that can provide intraoperative information about the neural structures at risk during the surgery.

摘要

综述目的

进行本综述以研究运动诱发电位监测在脊柱和中枢神经系统手术中的作用,从而确定是否可以摒弃诸如唤醒试验或体感诱发电位等其他监测方式。

最新发现

当前文献表明,运动诱发电位尽管具有一些优势,但仍需要使用诸如体感诱发电位或肌电图等其他监测方式来提供最佳监测。

总结

文献支持采用多模态监测,即运用所有能够在手术期间提供有关处于风险中的神经结构的术中信息的电生理技术。

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