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介入神经放射学中的神经监测

Neuromonitoring during interventional neuroradiology.

作者信息

Hacke W

出版信息

Cent Nerv Syst Trauma. 1985 Summer;2(2):123-36. doi: 10.1089/cns.1985.2.123.

DOI:10.1089/cns.1985.2.123
PMID:2937558
Abstract

The neurophysiologic monitoring of interventional neuroradiologic procedures is a new field of intraoperative monitoring. Interventional neuroradiology makes use of different diagnostic or therapeutic catheterization techniques in both cerebral and spinal cord arteries. Both procedures can be made more secure by monitoring of EEG or evoked potentials. Using the advantages of the different catheter techniques, such as series of balloon occlusions or injections of drugs or contrast dye, the neuroradiologist and the neurophysiologist are able to plan and test the next steps of an interventional maneuver. The results and implications of neuromonitoring during occluding maneuvers of the internal carotid artery, during local fibrinolytic therapy, during embolization procedures of cerebral or spinal arteries, malformations, or tumors, and during drug application are discussed and illustrated.

摘要

介入神经放射学手术的神经生理监测是术中监测的一个新领域。介入神经放射学在脑动脉和脊髓动脉中采用不同的诊断或治疗性导管插入技术。通过脑电图(EEG)或诱发电位监测,这两种手术都可以更安全地进行。利用不同导管技术的优势,如一系列球囊闭塞或药物或造影剂注射,神经放射学家和神经生理学家能够规划和测试介入操作的下一步。本文讨论并举例说明了在颈内动脉闭塞操作、局部纤维蛋白溶解治疗、脑动脉或脊髓动脉、畸形或肿瘤的栓塞手术以及药物应用过程中的神经监测结果和意义。

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Neuromonitoring during interventional neuroradiology.介入神经放射学中的神经监测
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