Concomitant hypertension, bradycardia, and loss of transcranial electric motor evoked potentials during pedicle hook removal: report of a case

被引：0

作者：

A. P. Ambardekar

A. K. Sestokas

D. M. Schwartz

J. M. Flynn

M. Rehman

机构：

[1] The Children’s Hospital of Philadelphia,Department of Anesthesiology and Critical Care Medicine

[2] The Children’s Hospital of Philadelphia,Department of Orthopaedic Surgery

[3] Surgical Monitoring Associates,undefined

来源：

Journal of Clinical Monitoring and Computing | 2010年 / 24卷

关键词：

pediatric scoliosis surgery; neurophysiologic monitoring; transcranial electric motor evoked potentials (tceMEPs); somatosensory evoked potentials (SSEPs); anesthesia information management system;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Neurophysiologic monitors in the form of transcranial electric motor evoked potentials (tceMEPs) and somatosensory evoked potentials (SSEPs) have become widely used modalities to monitor spinal cord function during major orthopedic spine procedures. In combination with invasive and non-invasive clinical monitoring and an anesthesia information management system (AIMS), we promptly recognized an acute change in hemodynamic and neurophysiologic parameters, managed intraoperative spinal cord contusion, and successfully minimized iatrogenic injury to the spinal cord during corrective spine surgery.

引用

页码：437 / 440

页数：3

共 35 条

[1]

Schwartz DM(2007)Neurophysiological detection of impending spinal cord injury during scoliosis surgery J Bone Joint Surg Am 89 2440-2449

[2]

Auerbach JD(2004)Comparison of transcranial electric motor and somatosensory evoked potential monitoring during cervical spine surgery J Bone Joint Surg Am 86 1248-1253

[3]

Dormans JP(2004)Neurophysiological monitoring of spinal cord function during instrumented anterior cervical fusion Spine J 4 202-207

[4]

Hilibrand A(2007)Intraoperative neurophysiologic monitoring during spinal surgery J Am Acad Orthop Surg 15 549-560

[5]

Schwartz DM(2002)A systems-based algorithmic approach to intraoperative neurophysiological monitoring during spinal surgery Semin Spine Surg 14 136-145

[6]

Sethuraman V(2006)Neurophysiological identification of position-induced neurologic injury during anterior cervical spine surgery J Clin Monit Comput 20 437-444

[7]

Bose B(2004)Transcranial electric motor evoked potential detection of hypotension- related spinal cord ischemic injury during spine surgery J Neurosurg Anesthesiol 16 349-350

[8]

Sestokas AK(1991)Review of the secondary injury theory of acute spinal cord trauma with emphasis on vascular mechanisms J Neurosurg 75 15-26

[9]

Schwartz DM(2008)Prevention, identification, and treatment of perioperative spinal cord injury Neurosurg Focus 25 E15-331

[10]

Schwartz DM(1973)Cardiovascular response to experimental spinal cord compression J Neurosurg 38 326-63

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