Checiński S, Bidziński J, Bacia T, Rakowicz M
Kliniki Neurochirurgii Instytutu Chirurgii AM w Warszawie.
Neurol Neurochir Pol. 1991 Jan-Feb;25(1):57-65.
Preoperative recording of evoked potentials after stimulation of the tibial nerve was followed by similar intraoperative recording in 6 patients with cauda and conus terminalis tumours and 2 patients with intervertebral disc prolapse at lumbar level. The shape and latency of these potentials were sensitive indicators of the level and degree of damage to the nervous elements in this area. The selectivity of the method was significantly higher during intraoperative recording. Monitoring of these potentials may serve for control of the integrity of sensory pathways during neurosurgical interventions.
对6例马尾和终丝肿瘤患者以及2例腰椎间盘突出症患者,在术前刺激胫神经后记录诱发电位,并在术中进行类似记录。这些电位的形状和潜伏期是该区域神经元件损伤水平和程度的敏感指标。术中记录时该方法的选择性明显更高。监测这些电位可用于在神经外科手术干预期间控制感觉通路的完整性。