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Neural Monitoring

The Prevention of Intraoperative Injury

  • Book
  • © 1990

Overview

Editors:
  1. Steven K. Salzman

    1. Spinal Trauma Research Program, Alfred I. duPont Institute of the Nemours Foundation, Wilmington, USA

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Part of the book series: Neurotrauma (NT)

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Table of contents (17 chapters)

  1. Front Matter

    Pages i-xiv
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  2. Basic Aspects of Evoked Neural Activity and Spinal Trauma

    1. Front Matter

      Pages 1-1
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    2. Neural Substances of Normal Somatosensory-Evoked Potentials

      1. Field Theory as it Pertains to Sep Analysis
        • Jun Kimura
        Pages 5-21
      2. The Generators of the Human Spinal Somatosensory-Evoked Potentials
        • Masud Seyal
        Pages 23-37

    3. Pathophysiology and Pharmacology of Experimental Spinal Cord Injury

      1. Neurochemical and Vascular Interactions in Experimental Spinal Cord Injury
        • Steven K. Salzman
        Pages 41-59
      2. Pharmacological Treatment of Acute, Experimental Spinal Cord Injury
        • Douglas K. Anderson
        Pages 61-84

    4. Mechanism of Evoked Potential Responces to Injury

      1. Axonal Morphometric Correlates of Evoked Potentials in Experimental Spinal Cord Injury
        • Andrew R. Blight, Wise Young
        Pages 87-113
      2. Neurophysiological Mechanisms of Somatosensory-Evoked Potential Changes
        • Wise Young, Kaoru Sakatani
        Pages 115-148

  3. Clinical Application of Electrophysiologic Methods for Intraoperative Neural Monitoring

    1. Front Matter

      Pages 149-149
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    2. Established Methods-clinical Experience with Somatosensory-Evoked Potentials

      1. Neural Monitoring During Orthopaedic Spine Surgery: Rationale and Case Studies
        • Henry L. Bennett, Pasquale X. Montesano, Daniel R. Benson
        Pages 153-163
      2. Reliability of Cortical Somatosensory-Evoked Potentials in Monitoring (Pediatric Orthopedic) Spinal Procedures
        • Harold G. Marks, Jeffrey Beauchamp, Steven K. Salzman
        Pages 165-178
      3. Invasive Somatosensory-Evoked Potential Monitoring
        • Dudley S. Dinner, M. D. Hans Luders, Ronald P. Lesser, Harold H. Morris III, Gene Barnett, George Klem
        Pages 179-196
      4. The Non-Pathological Variability of Somatosensory-Evoked Potentials
        • Neil I. Spielholz, Gordon L. Engler
        Pages 197-204

    3. New Methods-Cerebrocortical and Spinal Motor Monitors

      1. Quantified EEG Detects Ischemia: A Case Report
        • Henry L. Bennett, Amira M. Safwat, Leland H. Hanowell
        Pages 207-217
      2. Motor Evoked Potentials
        • Jeffrey H. Owen
        Pages 219-241
      3. Evoked-Potential Analysis of the Protective Effect of Halothane in Experimental Spinal Cord Injury
        • Shabetay Sabato, In-Ho Choi, Steven K. Salzman
        Pages 245-251
      4. Anesthetic Considerations in Spinal Surgery
        • Betty L. Grundy
        Pages 253-270

  4. The Present and Future of Neural Monitoring and Operative Safety

    1. Front Matter

      Pages 271-271
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    2. Clinical Review: Orthopedic Surgery

      • Clyde L. Nash Jr.
      Pages 273-279

    3. Preventing and Detecting Intraoperative Spinal Cord Injury

      • Steven K. Salzman
      Pages 281-314
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Keywords

About this book

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.

Editors and Affiliations

  • Spinal Trauma Research Program, Alfred I. duPont Institute of the Nemours Foundation, Wilmington, USA

    Steven K. Salzman

Bibliographic Information

  • Book Title: Neural Monitoring

  • Book Subtitle: The Prevention of Intraoperative Injury

  • Editors: Steven K. Salzman

  • Series Title: Neurotrauma

  • DOI: https://doi.org/10.1007/978-1-4612-0491-6

  • Publisher: Humana Totowa, NJ

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer Science+Business Media New York 1990

  • Hardcover ISBN: 978-0-89603-189-0Published: 27 September 1990

  • eBook ISBN: 978-1-4612-0491-6Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: XIV, 322

  • Topics: Neurology

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