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脳神経外科手術における誘発電位モニタリング

机译:脑神经外科诱导潜在监测

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In the neurosurgical field, the evoked potential is employed for the monitoring of intraoperative nerve function. During evoked potential monitoring, surgical manipulation-related nerve dysfunction is detected, and functional localization/nerves in the cerebral cortex are identified to prevent postoperative neurological complications. It is important to reduce the contact resistance to 2 k or less on the application of plate electrodes used for recording and prevent noise by bundling electrode leads, to ensure a stable evoked potential during surgery.In our laboratory, intraoperative monitoring, such as ABR to prevent auditory disturbance, SEP to detect cerebral ischemia, cortical SEP and MEP to prevent motor paralysis, and evoked electromyography to identify/maintain the cranial nerves including the facial, trigeminal, oculomotor, and abducens nerves, is performed based on requests from the Department of Neurosurgery.
机译:在神经外科领域,诱发潜力用于监测术中神经功能。 在诱发潜在的监测期间,检测到外科手术有关的神经功能障碍,鉴定脑皮质中的功能定位/神经以防止术后神经系统并发症。 重要的是将接触电阻降低到2 k或更小的板电极通过捆绑电极引线施加的板电极,以确保在手术期间稳定的诱发潜力。在我们的实验室,术中监测,例如ABR 预防听觉障碍,SEP检测脑缺血,皮质SEP和MEP,以防止电动机瘫痪,并诱发肌电学识别/维持包括面部,三叉子,动脉素和ABDUCENS神经在内的颅神经,基于来自部门的要求进行 神经外科。

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