Basic Techniques of Intraoperative Neurophysiological Monitoring

  • Park, Sang-Ku (Department of Neurology Laboratory, Samsung Medical Center) ;
  • Hyun, Soon-Chul (Department of Neurology Laboratory, Samsung Medical Center) ;
  • Lim, Sung-Hyuk (Department of Neurology Laboratory, Samsung Medical Center) ;
  • Park, Chan-Woo (Department of Neurology Laboratory, Samsung Medical Center) ;
  • Park, Jin-Woo (Department of Neurology Laboratory, Samsung Medical Center) ;
  • Kim, Dong-Jun (Department of Neurology Laboratory, Samsung Medical Center) ;
  • Choi, Wan-Soo (Dong-eui Institute of Technology) ;
  • Kim, Gi-Bong (Department of Neurology Laboratory, Samsung Medical Center)
  • Received : 2013.03.12
  • Accepted : 2013.06.19
  • Published : 2013.06.30

Abstract

Intraoperative Neurophysiological Monitoring (INM) is very useful in monitoring the motorsensory pathway and vascular circulation system during intraspinal, or intracranial neurosurgery. Brainstem Auditory Evoked Potentials (BAEPs) are for detecting the problems along the auditory pathways including, the eighth cranial nerve and brainstem. Motor Evoked Potentials (MEPs) is a useful adjunct to conventional monitoring of Somato-sensory Evoked Potentials (SEPs) during surgery. Visual Evoked Potentials (VEPs) has been regarded as having limited significance for the preservation of visual function during neurosurgical procedures. In this paper, we propose that the most appropriate averaging of the number of inspections in the inspection of each used in the operative field, is good and efficient, functionally.

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