Intraoperative Neuromonitoring in Pediatric Surgery

Jul 9, 2017 by in Uncategorized Comments Off on Intraoperative Neuromonitoring in Pediatric Surgery

Modality Age affected Factors Manifestation Adaptive strategy MN, UN SSEPs Birth—2 years Central myelination Broad, low-amplitude delayed cortical potentials Decrease stimulus rate; increase pulse length PTN SSEPs Birth—4–6 years Dorsal…

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Intramedullary Spinal Cord Surgery

Jul 9, 2017 by in Uncategorized Comments Off on Intramedullary Spinal Cord Surgery

Fig. 36.1 Magnetic resonance images of an extensive intramedullary tumor in lower thoracic spinal cord with complete obstruction of the spinal canal (a), significant enhancement (b), and dark T2-signal indicating…

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Intracranial Pressure Monitoring

Jul 9, 2017 by in Uncategorized Comments Off on Intracranial Pressure Monitoring

Fig. 15.1 Graphical representation of the Monro–Kellie doctrine . Any increase in a single component of intracranial volume (blood, cerebrospinal fluid [CSF], tissue) must be matched by a decrease in…

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Carotid Surgery

Jul 9, 2017 by in Uncategorized Comments Off on Carotid Surgery

Fig. 30.1 This MRI angiogram is from a patient with left carotid artery stenosis just above the level of the carotid artery bifurcation (arrowhead) The neurologist discussed the two possible…

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ENT and Anterior Neck Surgery

Jul 9, 2017 by in Uncategorized Comments Off on ENT and Anterior Neck Surgery

Pharmacologic agent Effect Modality: electrocochleography Resistant to effects of anesthesia Modality: auditory brainstem response Inhalation anesthetics (enflurane, halothane, isoflurane) Delay of 0.5–1.0 ms prolongation of wave V; I–V interpeak latency…

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Surgery for Hemifacial Spasm

Jul 9, 2017 by in Uncategorized Comments Off on Surgery for Hemifacial Spasm

Fig. 26.1 Coronal SSFP image showing facial nerve anatomy: root exit point (RExP), attached segment (AS), root detachment point (RDP), transition zone (TZ), and cisternal portion (CP) Imaging in HFS…

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