Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2013 Sep;28(9):1261-9. doi: 10.3346/jkms.2013.28.9.1261. Epub 2013 Aug 28.
The recent developments of new devices and advances in anesthesiology have greatly improved the utility and accuracy of intraoperative neurophysiological monitoring (IOM). Herein, we review the basic principles of the electrophysiological methods employed under IOM in the operating room. These include motor evoked potentials, somatosensory evoked potentials, electroencephalography, electromyography, brainstem auditory evoked potentials, and visual evoked potentials. Most of these techniques have certain limitations and their utility is still being debated. In this review, we also discuss the optimal stimulation/recording method for each of these modalities during individual surgeries as well as the diverse criteria for alarm signs.
新设备的最新发展和麻醉学的进步极大地提高了术中神经生理监测（IOM）的实用性和准确性。在此，我们回顾了在手术室中使用的电生理方法的基本原理。这些方法包括运动诱发电位、体感诱发电位、脑电图、肌电图、脑干听觉诱发电位和视觉诱发电位。这些技术中的大多数都有一定的局限性，其用途仍在争论中。在这篇综述中，我们还讨论了在个体手术中对每种模态进行最佳刺激/记录的方法以及不同的报警信号标准。
