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Intraoperative Neurophysiological Monitoring for Endoscopic Endonasal Approaches to the Skull Base: A Technical Guide
Joint Authors
Evans, James
Vogel, Richard W.
Lober, Robert M.
Doan, Adam T.
Matsumoto, Craig I.
Kenning, Tyler J.
Singh, Harminder
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-20, 20 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-16
Country of Publication
Egypt
No. of Pages
20
Main Subjects
Abstract EN
Intraoperative neurophysiological monitoring during endoscopic, endonasal approaches to the skull base is both feasible and safe.
Numerous reports have recently emerged from the literature evaluating the efficacy of different neuromonitoring tests during endonasal procedures, making them relatively well-studied.
The authors report on a comprehensive, multimodality approach to monitoring the functional integrity of at risk nervous system structures, including the cerebral cortex, brainstem, cranial nerves, corticospinal tract, corticobulbar tract, and the thalamocortical somatosensory system during endonasal surgery of the skull base.
The modalities employed include electroencephalography, somatosensory evoked potentials, free-running and electrically triggered electromyography, transcranial electric motor evoked potentials, and auditory evoked potentials.
Methodological considerations as well as benefits and limitations are discussed.
The authors argue that, while individual modalities have their limitations, multimodality neuromonitoring provides a real-time, comprehensive assessment of nervous system function and allows for safer, more aggressive management of skull base tumors via the endonasal route.
American Psychological Association (APA)
Singh, Harminder& Vogel, Richard W.& Lober, Robert M.& Doan, Adam T.& Matsumoto, Craig I.& Kenning, Tyler J.…[et al.]. 2016. Intraoperative Neurophysiological Monitoring for Endoscopic Endonasal Approaches to the Skull Base: A Technical Guide. Scientifica،Vol. 2016, no. 2016, pp.1-20.
https://search.emarefa.net/detail/BIM-1117552
Modern Language Association (MLA)
Singh, Harminder…[et al.]. Intraoperative Neurophysiological Monitoring for Endoscopic Endonasal Approaches to the Skull Base: A Technical Guide. Scientifica No. 2016 (2016), pp.1-20.
https://search.emarefa.net/detail/BIM-1117552
American Medical Association (AMA)
Singh, Harminder& Vogel, Richard W.& Lober, Robert M.& Doan, Adam T.& Matsumoto, Craig I.& Kenning, Tyler J.…[et al.]. Intraoperative Neurophysiological Monitoring for Endoscopic Endonasal Approaches to the Skull Base: A Technical Guide. Scientifica. 2016. Vol. 2016, no. 2016, pp.1-20.
https://search.emarefa.net/detail/BIM-1117552
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1117552