Friedman W A, Richards R
Department of Neurological Surgery, University of Florida College of Medicine, Gainesville.
Neurosurgery. 1988 Jan;22(1 Pt 1):140-2. doi: 10.1227/00006123-198801010-00024.
Separate somatosensory evoked potentials (SEPs) were monitored from each lower extremity during instrumentation for a spinal fracture. The SEP disappeared from the right lower extremity after instrumentation, but not from the left lower extremity. The predicted hemi-spinal cord injury was pathologically confirmed. The merits of sequential, as opposed to simultaneous, stimulation of multiple extremities during surgical monitoring are discussed.
在脊柱骨折手术操作过程中,对双侧下肢分别进行体感诱发电位(SEP)监测。术后右侧下肢SEP消失,左侧下肢SEP未消失。病理检查证实了预期的半脊髓损伤。本文讨论了手术监测期间对多个肢体进行顺序刺激而非同时刺激的优点。