Utility of Direct Stimulation of Roots in Spinal Surgery

DOI Web Site 被引用文献1件 参考文献35件
  • TAKEDA Masaaki
    Department of Neurosurgery, Hiroshima University Graduate School of Biomedical Sciences
  • YAMAGUCHI Satoshi
    Department of Neurosurgery, Hiroshima University Graduate School of Biomedical Sciences
  • MORISHIGE Mizuki
    Department of Neurosurgery, Hiroshima University Graduate School of Biomedical Sciences Clinical Engineering Division, Hiroshima University Hospital
  • EGUCHI Kuniki
    Department of Neurosurgery, Hiroshima University Graduate School of Biomedical Sciences
  • KURISU Kaoru
    Department of Neurosurgery, Hiroshima University Graduate School of Biomedical Sciences

この論文をさがす

抄録

Prevention of postoperative neurological deficits is a major concern of spinal surgeons and has led to the introduction and current development of intraoperative neurophysiological monitoring. We have used motor evoked potentials and somatosensory evoked potentials as routine monitoring techniques and, in some cases, added optional methods such as direct stimulation of nerve roots and spinal evoked potentials. We report our experience of direct nerve root stimulation as an optional monitoring method during spinal surgeries in 7 patients with lesions affecting the proximal nerve roots aged from 1 day to 78 years (mean 23.5 years). Four patients had anomalous lesions, two had spinal nerve root schwannomas, and one had a far-lateral lumbar disc herniation. Direct stimulation was used for detection of motor nerve roots in the anomalous lesions and schwannomas, and to distinguish the nerve root from the paraspinal soft tissues in the case of a far-lateral herniated disc at the L5-S1 level. Although some patients had slight transient neurological symptoms such as motor weakness and sensory disturbance, none developed severe permanent neurological impairment. Direct stimulation allows detection of the motor nerve during spinal surgery in real time. Our limited experience suggests that the direct stimulation technique could reduce the risk of motor or vesicorectal disturbance after surgery of lesions affecting or involving the spinal nerve roots.<br>

収録刊行物

被引用文献 (1)*注記

もっと見る

参考文献 (35)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ