Department of Orthopaedic Surgery, Emory University, Atlanta, GA.
Department of Neurology, Mayo Clinic, Rochester, MN.
J Hand Surg Am. 2023 Jul;48(7):726-731. doi: 10.1016/j.jhsa.2023.01.019. Epub 2023 Mar 11.
Confirming the presence or absence of a functioning nerve root in traumatic brachial plexus injuries is vital in the surgical decision-making process. Intraoperative neuromonitoring can confirm intact rootlets with the use of motor evoked potentials and somatosensory evoked potentials. The purpose of this article is to describe the rationale and details of intraoperative neuromonitoring to provide a basic understanding of its role in decision-making in patients with brachial plexus injuries.
确认外伤性臂丛神经损伤中神经根的功能状态对手术决策至关重要。术中神经监测可以通过运动诱发电位和体感诱发电位来确认完整的神经根。本文旨在描述术中神经监测的原理和细节,为理解其在臂丛神经损伤患者决策中的作用提供基础。