Neurosurgical decision-making with IOM: DBS surgery

被引：4

作者：

Arle, Jeffrey E. ^{[1
]}

Shils, Jay L. ^{[1
]}

机构：

[1] Tufts Univ, Sch Med, Lahey Clin, Dept Neurosurg, Burlington, MA 01867 USA

来源：

NEUROPHYSIOLOGIE CLINIQUE-CLINICAL NEUROPHYSIOLOGY | 2007年 / 37卷 / 06期

关键词：

decision-making; microelectrode; neurosurgery; intraoperative; neurophysiology;

D O I：

10.1016/j.neucli.2007.09.010

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Intraoperative monitoring (IOM) adds new information to intraoperative surgical decision-making. When presented clearly and accurately, it can help guide decision processes during the procedure, but can be a detriment overall if the information is inaccurate or mis-leading. Troubleshooting abilities and vigilance of the IOM staff play a large rote in bolstering the Level of trust a surgeon develops in IOM. Additionally, a surgeon may impart his own interpretation and experience with this new information that can undermine or enhance its impact on the case. In this article, we explore these issues with IOM in general and as they relate to the special context of DBS for movement disorders. (c) 2007 Elsevier Masson SAS. All rights reserved.

引用

页码：449 / 455

页数：7

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