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Author: Eric Stalberg Publisher: Springer Science & Business Media ISBN: 3709164648 Category : Medical Languages : en Pages : 520
Book Description
During the last decades, research on spinal cord has attracted a great deal of attention because of problems such as sensory-motor and autonomic dysfunctions associated with traumatic and other injuries. Recording of spinal cord evoked potentials is one of the most promising approaches to understand the spinal cord function. However, the details of the evoked potentials and their significance in various pathological conditions are not yet fully characterized. This book summarizes new findings in the field of electrophysiology and relates this knowledge to pathology and regeneration research. It is the first one which deals in great detail with various ways to monitor spinal cord function in experimental and clinical situations. It provides an up-to-date knowledge regarding spinal cord bioelectrical activity and its modification with pharmacological agents and covers new aspects of regeneration studies, particularly the role of myelin associated inhibitory molecules. A section is devoted to clinical studies dealing with electrical activity, pathology, and current therapeutic measures. This volume will be useful both to basic and clinical neuroscientists engaged in the field of neurology, neurophysiology, neurochemistry, neurosurgery, neuropathology, and related disciplines in order to understand basic functions of the spinal cord and to stimulate further research in this rapidly advancing field.
Author: Koki Shimoji Publisher: Springer Science & Business Media ISBN: 3642757448 Category : Medical Languages : en Pages : 559
Book Description
The spinal cord has a characteristic structure and functions that are distinct from those of the brain. Its functions are tremendously important since it modulates the peripheral sensory inputs to the dorsal horn, and it gives rise to the ascending pathways transmitting peripheral afferent inputs to the brain, and conveys the descending pathways from the brain both to the lower motor neurons, the final common pathway, and to dorsal horn sensory neurons. In spite of these vital functions, the spinal cord constitutes only a small percent age of the mass of the human central nervous system and is located far from the skin surface, which has obstructed the recording of its electrical activity. Recently, however, important advances have been made in several recording techniques, including epidural recording or averaging methods, allowing both sensory and motor evoked spinal cord potentials in man to be recorded. This volume is based on the papers presented at the Fourth International Symposium on Spinal Cord Monitoring and Electrodiagnosis. Each of these international symposia has brought together many of the specialists involved in this research, with an important increase in the number of participants since the first symposium was held in Toyko in 1981. At the past symposia several attempts were made to standardize data, techniques, and clinical applications and to integrate the new findings into patient care.
Author: Steven K. Salzman Publisher: Springer Science & Business Media ISBN: 1461204917 Category : Medical Languages : en Pages : 343
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.
Author: Aage R. Møller Publisher: Springer Science & Business Media ISBN: 1597450189 Category : Medical Languages : en Pages : 347
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.
Author: N. Jollyon Smith Publisher: Elsevier Health Sciences ISBN: 072343381X Category : Critical care medicine Languages : en Pages : 409
Book Description
This title enables readers to understand how to undertake appropriate neurophysiological investigations in the critical care setting. The book addresses the scientific principles (biological and technological), recording techniques, the development of electrical potentials in normal subjects, and the ways these are disturbed by trauma, surgery and disease. The impact of digital technologies and the possibilities of quantification, statistical treatment and advanced signal processing techniques have enabled practitioners to work to more rigorous scientific standards. The increasing availability of such tools in daily clinical work means that patients can now benefit from investigations of known specificity and sensitivity.
Author: Scott Francis Davis Publisher: Springer Nature ISBN: 3030224007 Category : Medical Languages : en Pages : 316
Book Description
This book is a comprehensive, focused resource on intraoperative neurophysiological monitoring (IOM). This rapidly evolving field has created a demand for an up-to-date book such as this that builds on foundational concepts necessary to the practice of IOM in the context of anatomy and physiology. Each chapter is designed to not only inform the reader, but to also test the reader on the information presented - therefore promoting practical, problem-based learning. Surpassing the quality of its successful predecessor, Principles of Neurophysiological Assessment, Mapping, and Monitoring, Second Edition, is positioned to suit the needs of residents and fellows studying for the IOM certificate programs, physicians and anesthesiologists practicing IOM, and neurotechnologists both experienced and in training.
Author: Milan R. Dimitrijevic Publisher: Butterworth-Heinemann ISBN: Category : Medical Languages : en Pages : 208
Book Description
This book is the first attempt ever made to compile knowledge about the neurophysiology of the human spinal cord acquired by recording electrical events from the space adjacent to spinal structures (epidural space). Moreover, illustrations have been produced in a computerized method that were recorded under different technical specifications but presented under identical standards. This book provides information about the present professional and scientific achievements in this particualr field of human neurophysiology. Information on the electrophysiological characteristics of presynaptic, conducting electrical events as well as post-synaptic stationary electrical events. Information about spinal cord electrical events is given according to different segmental spinal cord levels and spinal cord portions. It will be useful for physicians using electrical events recorded from the spinal cord electrospinograms, to monitor spinal cord functions during surgical interventions, as well as for researchers who are advancing the application of new physiological, pharmacological, surgical and potentially neurobiological procedures for the restoration of impaired spinal cord functions.