Premium
Electrophysiological monitoring during lipomyelomeningocele resection
Author(s) -
Phillips Lawrence H.,
Park T. S.
Publication year - 1990
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.880130207
Subject(s) - cauda equina , medicine , electrophysiology , resection , surgery , evoked potential , compound muscle action potential , surgical resection , nerve root , anesthesia , spinal cord , psychiatry
Surgical resection of a lipomyelomeningocele carries a risk of injury to nerve roots in the cauda equina. We have devised a technique for combined spinal evoked potential and peripheral nerve compound action potential recording for intraoperative monitoring of this surgical procedure. We report the results of six cases where this technique was used. In each case, the monitoring prevented resection of viable neural tissue, and all six patients were neurologically unchanged postoperatively.