Chapter

Spinal Cord Monitoring

Jeffrey A. Strommen

in Clinical Neurophysiology

Third edition

Published on behalf of © Mayo Foundation for Medical Education and Research

Published in print April 2009 | ISBN: 9780195385113
Published online April 2013 | e-ISBN: 9780199322770 | DOI: http://dx.doi.org/10.1093/med/9780195385113.003.0044

Series: Contemporary Neurology Series

Spinal Cord Monitoring

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Continuous electrophysiologic monitoring of spinal cord or spinal nerve (or both) function intraoperatively can minimize potential damage that may occur during spine surgery. SEPs are easiest to use for monitoring function and have had the widest application. Unless spinal cord injury is caused by a vascular insult, with purely motor damage, SEP monitoring can identify the damage early enough to alert the surgeon. The addition of MEP monitoring further protects the motor pathways that may be at risk during some spinal procedure. Neurotonic discharges recorded from peripheral muscle are sensitive to nerve root irritation and, thus, can help surgeons recognize when and where damage may be occurring. These techniques appear reliable and with experience the neurophysiologist can acquire the skills to perform and correctly interpret these studies thus enhancing the neurologic and functional outcomes during the often complex procedures.

Chapter.  13505 words.  Illustrated.

Subjects: Neurology

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