Document Detail

Brainstem mapping.
MedLine Citation:
PMID:  24300984     Owner:  NLM     Status:  In-Data-Review    
The complex neuroanatomy of the brainstem and the additional distortion incurred by intrinsic lesions have previously discouraged aggressive neurosurgical procedures. Safe access to the brainstem and complete lesionectomy has been thwarted by considerable perioperative risk. Brainstem mapping has established itself as one of the means by which modern neurosurgery can improve surgical outcome while decreasing morbidity. It involves the use of neurophysiologic techniques for the identification of critical structures, such as the cranial motor nuclei and their nerves, and the corticobulbar and corticospinal tracts at different stages of the operation. Familiarity with these techniques can map a safe corridor toward a brainstem lesion and guide the surgeon during the resection. By means of reviewing the available literature, we discuss the anatomic, pathophysiologic, technical, and interpretational aspects of brainstem mapping and elaborate on its indications, limitations, and future directions.
Ioannis Karakis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society     Volume:  30     ISSN:  1537-1603     ISO Abbreviation:  J Clin Neurophysiol     Publication Date:  2013 Dec 
Date Detail:
Created Date:  2013-12-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506708     Medline TA:  J Clin Neurophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  597-603     Citation Subset:  IM    
Emory University School of Medicine, Atlanta, GA, U.S.A.
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