Monitoring Cerebral Blood Flow

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Fig. 46.1 Blood flow velocity measured by TCD during carotid endarterectomy. Preinduction (a). Internal and external carotid arteries clamped (b). Significant decrease in BFV occurs with loss of pulsatility. With…

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Surgery for Infratentorial Mass

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Fig. 24.1 MRI of 64-year-old woman that shows a large tumor mass in the right cerebellopontine angle (CPA). The cerebellum is shifted to the left hemisphere and the brainstem is…

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Surgery for Scoliosis Correction

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Fig. 33.1 Adolescent in the headrest (ProneView, Dupaco, Oceanside, CA). The potential pressure points include the forehead and chin. It is important to make sure that the weight of the…

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Anterior Cervical Spine Surgery

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Fig. 31.1 Representative of cortical SSEP changes caused by unilateral carotid occlusion due to retractor malposition What are the possible causes for the diminished left-sided SSEP and MEP signals at…

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Electromyography

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Fig. 7.1 Placement of electrodes for recording EMG responses from the extraocular muscles (CNs III, IV, VI), facial muscles (CN VII), masseter muscle (CN V), trapezius muscle (CN XI), and…

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Interventional Neuroradiology

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Fig. 42.1 Representative transcranial electric motor-evoked potentials , ulnar nerve somatosensory-evoked potentials (SSEPs) , and posterior tibial nerve SSEPs recorded during neuroendovascular surgery for embolization of carotid artery fistula. The…

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Brain and Spinal Cord Mapping

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Fig. 9.1 (a) Diagrammatic axial section through the central sulcus at the level of the hand area of sensorimotor cortex, showing the earliest cortical dipoles activated after finger stimulation. Note…

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