Intraoperative Monitoring Of Neural Function

Book Description :

This second edition devotes almost 1000 pages to IOM. The first section covers basic science aspects to understand the generation of electro-physiologic signals and the anatomic structures involved. Then it follows a detailed description of ALL the techniques currently available. The last part covers the different types of surgical procedures where IOM may be needed

Book Description :

Intraoperative Neuromonitoring takes you step by step through the proper protocols for measuring and mapping neural function, emphasizing the correct application of intraoperative recordings for improved surgical outcomes. You will learn how to utilize the very latest neuromonitoring tools, and familiarize yourself with the full range of topics pertaining to intraoperative monitoring in neurosurgery. The authors also present both common and lesser-known techniques for neural assessment, resulting in a stand-alone reference that helps you master any type of neuromonitoring for virtually every kind of procedure. The most complete, expert-authored intraoperative neuromonitoring resource, addressing the most current topics, tools, and techniques to enhance your skills. Logical five-part organization clearly explains must-know topics such as neuromonitoring during cerebrovascular surgery, mapping cerebral and brainstem function, neuromonitoring in spinal surgery peripheral nerve procedures, and more.

Book Description :

Intra-operative neuromonitoring (IONM) refers to a diverse and evolving collection of techniques used to provide real-time assurance of neurological integrity during surgery. Most frequently utilised during neurosurgical procedures, the use of IONM has increased dramatically over recent years, and there is an ongoing need for structured and accessible information in its principles, implementation and interpretation. This dynamic book provides a practical overview of IONM, in simple language and clearly illustrated. Uniquely, it is authored by experienced multidisciplinary clinicians affiliated to Kingâ (TM)s College Hospital NHS Foundation Trust, a regional neurosciences centre in London, UK. Combining the expertise of anaesthetists, physiologists, surgeons and patients themselves, this guide represents an invaluable source of information for all staff and trainees involved in the pre-, intra- and postoperative care of patients undergoing IONM.

Book Description :

Intraoperative Neurophysiologic Monitoring, Second Edition, contains chapters related to the monitoring of the spinal motor system and deep brain stimulation have been added. The anatomical and physiological basis for these techniques are described in detail as are the practical aspects of such monitoring. Chapters on monitoring of sensory systems and monitoring in skull base surgery have been re-written as has the chapter on monitoring of peripheral nerves.

Book Description :

Interoperative Monitoring, Volume 186 provides a concise overview of advances in interoperative monitoring targeted for clinical neurologists. It identifies techniques (EEG, ECoG, EMG, etc.), optimal anesthesia for use, safety issues to be considered, and then discusses advances as they relate to intracranial, spinal, peripheral nerve and vascular surgery. Best practices and case studies are included for all chapters as well as surgical microscope views, illustrations, and medical imaging. Identifies the best techniques for specific surgeries with details that include case studies Covers intracranial, spinal, peripheral nerve and vascular surgeries Specifies optimal anesthesia for use Addresses safety issues to be considered Utilizes surgical microscope views, illustrations and medical imaging

Book Description :

Intraoperative neurophysiologic monitoring has shown a steady increase in use for surgeries in which neural structures may be at risk of injury. Some of the surgical techniques used carry inherent risks, and these risks have changed the way in which neurophysiologic monitoring has impacted patient safety and quality of care during surgical procedures. It is therefore crucial that those performing and interpreting intraoperative neurophysiologic monitoring are adequately trained. This book is a comprehensive guide to the current practice of intraoperative neurophysiology with chapters on various modalities and clinical uses. Separate chapters devoted to anesthesia, operating room environment, special considerations in pediatrics and the interpretation and reporting of neurophysiologic data are useful and complementary. Questions and detailed answers on the topics covered can be found on the accompanying website for study review. This book will be useful to the trainee as well as the neurophysiologist already in practice.

Book Description :

Using narrative text, lists, tables, and illustrations, this handbook discusses all practical aspects of neurophysiologic intraoperative monitoring. Divided into two sections, the first part of the book introduces the “Basic Principles” with chapters on operating room setup, monitoring techniques and modalities, remote data acquisition, anesthesia, billing, ethical issues, and includes a buyer's guide to IOM machines which is invaluable for anyone setting up a laboratory. The second part, “Clinical Methods”, reviews the use of IOM in various types of surgeries. Each chapter is co-written by a neurophysiologist and technologist and presents a brief overview of the particular surgery, relevant anatomy and hardware, monitoring modalities, data interpretation and warning criteria, and technical considerations.

Book Description :

In recent decades, the advances in and consolidation of Intraoperative Neurophysiological Monitoring (IOM) in several highly complex surgical areas have been undeniable. Currently all modalities of neurophysiological tests (SSEP, MEP, EMG, PEATC, VEP, BRAIN MAPPING, ETC) are performed in the operating room, where they are used to provide trans operative information on the patient’s neurological status in real time (monitoring), and to identify neural structures which are at immediate risk (mapping). With the inarguably positive impact of IOM on surgical outcomes, there is an increasing interest in reliable, technically focused literature. This volume provides cutting-edge information in the field of IOM, and highlights new neurophysiological tools being used in various surgeries. The book’s initial sections cover a range of topics, including an anatomical overview, electrical safety, and detailed technical descriptions of the neurophysiological tests used in IOM. The subsequent sections address e.g. the brain, brainstem, spinal cord, vascular and peripheral nerves, epilepsy, head and neck, movement disorders and special topics. Some chapters are accompanied by videos of surgeries and IOM so that the reader will have the real sensation of having been in the operating room and will gain an overview of the key steps. Written by experts in the field of IOM, the book offers a valuable resource for both experienced and early-career neurophysiologists, neurosurgeons, vascular and orthopedic surgeons, and surgeons involved with pelvic procedures. Further, its goal is to provide a real rapport, never before attained, between neurophysiologists and surgeons with a sole focus: excellence in terms of the final outcome.

Book Description :

Optimize perioperative outcomes with Kaplan’s Cardiac Anesthesia! Dr. Joel L. Kaplan and a host of other authorities help you make the best use of the latest techniques and navigate your toughest clinical challenges. Whether you are administering anesthesia to cardiac surgery patients or to cardiac patients undergoing non-cardiac surgery, you’ll have the guidance you need to avoid complications and ensure maximum patient safety. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Update your understanding of cardiovascular and coronary physiology, and the latest advances in molecular biology and inflammatory response mechanisms. Master the newest approaches to perioperative assessment and management, including state-of-the art diagnostic techniques. Tap into the latest knowledge about 2D and 3D transesophageal echocardiography, anesthesia delivery for minimally invasive/robotic cardiac surgery, assist devices and artificial hearts, cardiac pacing, cardiac resynchronization therapy, ablation techniques, and more. Access the complete contents online at Expert Consult, plus additional online-only features including an ECG atlas...videos that demonstrate 2-D and 3-D TEE techniques in real time...and an Annual Year End Highlight from the Journal of Cardiovascular Anesthesia that’s posted each February. Clearly visualize techniques with over 800 full-color illustrations.

Book Description :

Tumors involving peripheral nerves may be extremely challenging lesions to diagnose and treat. In order to optimize their management, physicians should have a thorough knowledge of peripheral nerve anatomy and pathology (both gross and microscopic), as well as familiarity with microsurgical techniques and intraoperative neurophysiological recording. This compendium deals with all aspects of tumors affecting peripheral nerves, from diagnosis to treatment; the topics it addresses range from epidemiology, anatomy, physiology, pathology, and clinical diagnosis to electrophysiology, imaging, genetic/cytomolecular aspects. Surgical approaches, biopsies and resection of various benign, malignant and pseudo-tumoral lesions, plexus tumors (both brachial and lumbosacral), and adjunctive treatment modalities and pain-related issues are described in detail. The book is intended not only for neurosurgeons, hand surgeons, plastic and orthopedic surgeons new to the field, but also for seasoned specialists who wish to update their knowledge with new insights based on robust experimental and clinical material. In addition, it will be a helpful tool for general and oncological surgeons who are sometimes faced with the treatment of mass lesions that may be potential nerve tumors, and for all practitioners who are engaged in the arduous struggle to bring relief to patients affected by these lesions.

Book Description :

Clinical Neurophysiology, Third Edition will continue the tradition of the previous two volumes by providing a didactic, yet accessible, presentation of electrophysiology in three sections that is of use to both the clinician and the researcher. The first section describes the analysis of electrophysiological waveforms. Section two describes the various methods and techniques of electrophysiological testing. The third section, although short in appearance, has recommendations of symptom complexes and disease entities using electroencephalography, evoked potentials, and nerve conduction studies.

Book Description :

Here is the Fourth Edition of the classic text Electrodiagnosis in Diseases of Nerve and Muscle: Principles and Practice. With each subsequent edition, Dr. Kimura has built upon his extensive experience teaching electromyography (EMG) around the world and has transferred his knowledge to the book. It is intended for clinicians who perform electrodiagnostic procedures as an extension of their clinical examination, and will be of value to neurologists and physiatrists who are interested in neuromuscular disorders and noninvasive electrodiagnostic methods, particularly those practicing electromyography (EMG). The book provides a comprehensive review of most peripheral nerve and muscle diseases, including specific techniques and locations for performing each test. While the book has been thoroughly updated to reflect the growth that has been made in the field since 2001, a DVD has also been added to the book, allowing the readers to watch and listen to various types of normal and abnormal EMG activities.

Book Description :

Now in its 6th edition, Cummings Otolaryngology remains the world's most detailed and trusted source for superb guidance on all facets of head and neck surgery. Completely updated with the latest minimally invasive procedures, new clinical photographs, and line drawings, this latest edition equips you to implement all the newest discoveries, techniques, and technologies that are shaping patient outcomes. Be certain with expert, dependable, accurate answers for every stage of your career from the most comprehensive, multi-disciplinary text in the field! Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Overcome virtually any clinical challenge with detailed, expert coverage of every area of head and neck surgery, authored by hundreds of leading luminaries in the field. Experience clinical scenarios with vivid clarity through a heavily illustrated, full-color format which includes approximately 3,200 images and over 40 high quality procedural videos. Get truly diverse perspectives and worldwide best practices from a multi-disciplinary team of contributors and editors comprised of the world’s leading experts. Glean all essential, up-to-date, need-to-know information. All chapters have been meticulously updated; several extensively revised with new images, references, and content. Stay at the forefront of your field with the most updated information on minimally-invasive surgical approaches to the entire skull base, vestibular implants and vestibular management involving intratympanic and physical therapy-based approaches, radiosurgical treatment of posterior fossa and skull base neoplasms, and intraoperative monitoring of cranial nerve and CNS function. Apply the latest treatment options in pediatric care with new chapters on pediatric sleep disorders, pediatric infectious disease, and evaluation and management of the infant airway. Find what you need faster through a streamlined format, reorganized chapters, and a color design that expedites reference. Manage many of the most common disorders with treatment options derived from their genetic basis. Assess real-world effectiveness and costs associated with emergent technologies and surgical approaches introduced to OHNS over the past 10 years. Incorporate recent findings about endoscopic, microscopic, laser, surgically-implantable, radiosurgical, neurophysiological monitoring, MR- and CT-imaging, and other timely topics that now define contemporary operative OHNS.

Book Description :

Widely regarded as the definitive reference in the field, Youmans and Winn Neurological Surgery offers unparalleled, multimedia coverage of the entirety of this complex specialty. Fully updated to reflect recent advances in the basic and clinical neurosciences, the 8th Edition covers everything you need to know about functional and restorative neurosurgery, deep brain stimulation, stem cell biology, radiological and nuclear imaging, and neuro-oncology, as well as minimally invasive surgeries in spine and peripheral nerve surgery, and endoscopic and other approaches for cranial procedures and cerebrovascular diseases. In four comprehensive volumes, Dr. H. Richard Winn and his expert team of editors and authors provide updated content, a significantly expanded video library, and hundreds of new video lectures that help you master new procedures, new technologies, and essential anatomic knowledge in neurosurgery. Discusses current topics such as diffusion tensor imaging, brain and spine robotic surgery, augmented reality as an aid in neurosurgery, AI and big data in neurosurgery, and neuroimaging in stereotactic functional neurosurgery. 55 new chapters provide cutting-edge information on Surgical Anatomy of the Spine, Precision Medicine in Neurosurgery, The Geriatric Patient, Neuroanesthesia During Pregnancy, Laser Interstitial Thermal Therapy for Epilepsy, Fetal Surgery for Myelomeningocele, Rehabilitation of Acute Spinal Cord Injury, Surgical Considerations for Patients with Polytrauma, Endovascular Approaches to Intracranial Aneurysms, and much more. Hundreds of all-new video lectures clarify key concepts in techniques, cases, and surgical management and evaluation. Notable lecture videos include multiple videos on Thalamotomy for Focal Hand Dystonia and a video to accompany a new chapter on the Basic Science of Brain Metastases. An extensive video library contains stunning anatomy videos and videos demonstrating intraoperative procedures with more than 800 videos in all. Each clinical section contains chapters on technology specific to a clinical area. Each section contains a chapter providing an overview from experienced Section Editors, including a report on ongoing controversies within that subspecialty.

Book Description :

This first of two volumes on EMG (Electromyography) covers a wide range of subjects, from Principles and Methods, Signal Processing, Diagnostics, Evoked Potentials, to EMG in combination with other technologies and New Frontiers in Research and Technology. The authors vary in their approach to their subjects, from reviews of the field, to experimental studies with exciting new findings. The authors review the literature related to the use of surface electromyography (SEMG) parameters for measuring muscle function and fatigue to the limitations of different analysis and processing techniques. The final section on new frontiers in research and technology describes new applications where electromyography is employed as a means for humans to control electromechanical systems, water surface electromyography, scanning electromyography, EMG measures in orthodontic appliances, and in the ophthalmological field. These original approaches to the use of EMG measurement provide a bridge to the second volume on clinical applications of EMG.

Book Description :

The symposium from which this book originates represents a sig nificant watershed in the field of intraoperative neural monitoring, since the participants concluded that electrophysiologic monitoring techniques should be considered a "standard of care" for surgical pro cedures that place the central nervous system (CNS) at risk for injury. Specifically, it was agreed that the somatosensory-evoked potential (SEP) is a remarkably reliable and sensitive indicator of several aspects of CNS function, and should be routinely employed as an intraopera tive monitor during many neurosurgical and orthopedic procedures. The significance of this conclusion cannot be overstated, for at the time of this writing, intraoperative monitoring methods based on evoked-potential analyses are still considered experimental and are not in routine use. The reasons for this are not clear, given the accu mulation of literature and expertise on this subject over the past five years. Granted, the cost of electrophysiological monitoring equip ment is high, but only initially. The benefits of injury prevention far outweigh these costs, from both medical and economic viewpoints. It is our sincere hope and goal that the medical community be made aware of the value of intraoperative neural monitoring.

Book Description :

What is intraoperative neuropsyiological monitoring? How did this discipline evolve? Why is there a need for this clinical specialty? How does one function in the operating room? What are potential pitfalls and how does one resolve them? How does one get trained in intraoperative monitoring? These are just a few of the questions that arise when the term "intraoperative neuromonitoring" is mentioned. The purpose of this book is to provide satisfactory answers to these questions and more by addressing fundamental issues pertaining to intraoperative monitoring, in particular within the framework of clinical audiology. The focus is on neural functions that are most likely encountered by audiologists in conjunction with otology/neurotology and head-and-neck surgery operations, such as auditory function and motor cranial nerve function monitoring. While the facial nerve receives the most attention, other cranial nerves are also discussed in conjunction with certain operative procedures. The book includes descriptions of surgical procedures along with the appropriate neuromonitoring protocols. The author's hope is that the contents of this book will be instructive and that the book will engender sufficient interest and curiosity so that the reader will endeavor to seek additional information about this interesting, growing and clinically effective field. While this book is intended primarily for audiology students and practicing audiologists, its contents will be of assistance and interest to other health care providers seeking information about intraoperative monitoring.

Book Description :

Niedermeyer's Electroencephalography: Basic Principles, Clinical Applications, and Related Fields, Seventh Edition keeps the clinical neurophysiologist on the forefront of medical advancements. This authoritative text covers basic neurophysiology, neuroanatomy, and neuroimaging to provide a better understanding of clinical neurophysiological findings. This edition further delves into current state-of-the-art recording EEG activity both in the normal clinical environment and unique situations such as the intensive care unit, operating rooms, and epilepsy monitoring suites. As computer technology evolves, so does the integration of analytical methods that significantly affect the reader's interpretations of waveforms and trends that are occurring on long-term monitoring sessions. Compiled and edited by Donald L. Schomer and Fernando H. Lopes da Silva, along with a global team of experts, they collectively bring insight to crucial sections including basic principles of EEG and MEG, normal EEG, EEG in a clinical setting, clinical EEG in seizures and epilepsy, complementary and special techniques, event-related EEG phenomena, and shed light on the future of EEG and clinical neurophysiology. Akin to an encyclopedia of everything EEG, this comprehensive work is perfect for neurophysiology fellows, as well as neurology, neurosurgery, and general medical residents, and for the interns and medical students, and is a one-stop-shop for anyone training in EEG or preparing for neurophysiology or epilepsy board exams.

Book Description :

Fully updated two volume guidde to otologic surgery, with emphasis on structre, function, pathogenesis and research. Includes DVD of real case studies and surgical procedures.

Book Description :

2nd international symposium