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2012, Number S1

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Rev Mex Anest 2012; 35 (S1)

Neuromonitoring syllabus

Deiner S

Language: English
References: 59
Page: 307-315
PDF size: 100.22 Kb.


Text Extraction

Introduction

The evolution of monitoring for spine and brain surgery

The potential for neurologic injury during surgery of the brain and spinal cord has caused a strong interest in the early recognition of iatrogenic compromise. In 1973, Vauzelle and colleagues published a paper on the practice of awakening patients during critical phase of their spine surgery (i.e. after placement of rods during scoliosis surgery) and asking them to move their extremities. If the patient was able to move then the spinal cord was considered to be intact and surgery was allowed to proceed. If the patient did not move, then the hardware was removed and the surgery was terminated. This first attempt at intraoperative monitoring of the spinal cord had some obvious disadvantages: it was time consuming, it could cause physical or psychological harm to the patient, and it was impractical to perform multiple times. Hence, the need was recognized for a test of spinal cord integrity that was less dangerous and could be repeated throughout the surgery.


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