| Intraoperative neurophysiological monitoring during surgery for tethered cord syndrome. | |
| | |
MedLine Citation:
|
PMID: 20963697 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: The tethered cord syndrome refers to a variety of lesions that can cause the conus medullaris to be low-lying or incapable of movement within the spinal canal. Permanent or temporary neurological complications were reported following surgical release. In this report, peri- and postoperative results in cases with tethered cord syndrome that were followed by multimodal intraoperative neurophysiological monitoring (MIONM) methods are presented. MATERIAL AND METHODS: An IONM system (Nicolet CR Endeavor) was used for monitoring during tethered cord surgery. Somatosensory evoked potentials (SEPs), motor evoked potentials (MEPs), direct nerve root/rootlet stimulation, free-run electromyography (EMG) and F-waves were used during tethered cord surgery of 10 cases to prevent possible nerve injuries. RESULTS: MEP and SEP recordings did not change in any of the cases during surgery. The nervous tissue was identified and differentiated from connective tissue in three cases when motor responses were elicited with direct stimulation of nerve roots. None of the cases had neurological deficits following the operation. CONCLUSION: Direct nerve root/rootlet stimulation should be one of the components of MIONM during surgery for tethered cord syndrome to prevent postoperative neurological deficits. |
| | |
Authors:
|
Mehmet Beyazova; Murat Zinnuroglu; Hakan Emmez; Kadir Kaya; H Zerrin Ozkose; M Kemali Baykaner; Zeynep Erden; Nurdan Orucoglu; Gokhan Tuna Ozturk; Zeynep Erdogan |
Related Documents
:
|
20724877 - Compartment syndromes from head to toe. 15280767 - Compartment syndrome of the thigh: an unusual complication after spinal surgery. 2637057 - Upper lumbar disc herniation. 20117637 - Abdominal compartment syndrome after hip arthroscopy. 21352077 - A comparison of polysomnographic variables between adolescents with polycystic ovarian ... 2328647 - Hypoplastic left heart syndrome repair. preventing complications. |
Publication Detail:
|
Type: Clinical Trial; Journal Article |
Journal Detail:
|
Title: Turkish neurosurgery Volume: 20 ISSN: 1019-5149 ISO Abbreviation: Turk Neurosurg Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-10-21 Completed Date: 2010-12-20 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9423821 Medline TA: Turk Neurosurg Country: Turkey |
Other Details:
|
Languages: eng Pagination: 480-4 Citation Subset: IM |
Affiliation:
|
Gazi University, Department of Physical Medicine and Rehabilitation Ankara, Turkey. mbeyazova@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Child Child, Preschool Electromyography* Evoked Potentials, Motor* Evoked Potentials, Somatosensory* Female Humans Intraoperative Complications / prevention & control Male Monitoring, Intraoperative / instrumentation, methods* Neural Tube Defects / surgery* Postoperative Complications / prevention & control Spinal Nerve Roots / physiology Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Repair of the peripheral nerve defect with the combination of allogeneic nerve and autologous neurom...
Next Document: Radiological and histopathological comparison of microporous polysaccharide hemospheres and oxidized...