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اريخ دريافت ت06 / 00 / 9011 يخ پذيرش تار09 / 07 / 9011 Email: [email protected] SSEP MEP SSEP MEP SSEP MEP up ward upper motor neuron [ Downloaded from umj.umsu.ac.ir on 2022-05-20 ] 1 / 7

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Page 1: Ë~axË•Ze d§ZË•{xË•Ze

09/07/9011تاريخ پذيرش 06/00/9011تاريخ دريافت

Email: [email protected]

SSEPMEP

SSEP

MEP

SSEP

MEP

up ward

upper

motor neuron

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C1-C2

debulking

MEP,SEP

MEPSEP

MEP, SEP

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MEP,SEP

MEP,SEP

MRIC1-C2Enhance

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MRIT2 C1-C2

EMG EMG

MEPSSPE

EMG

SEMG

EMG

EMG

EMGSSPE

SSPE

MEP

MEPSEP

.,

Szalay

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MEP

SSPE

SSPE

SSPE

MEP

MEP

Scibilia

References:

1. Nash CL Jr, Lorig RA, Schatzinger LA, Brown RH:

Spinal cord monitoring during operative treatment

of the spine. Clin Orthop Relat Res 1977, 126:100-

5.

2. Sala F, Dvorak J, Faccioli F: Cost effectiveness of

multimodal intraoperative monitoring during spine

surgery. Eur Spine J 2007, 16:229-31.

3. May DM, Jones SJ, Crockard HA: Somatosensory

evoked potential monitoring in cervical surgery:

identification of pre- and intraoperative risk factors

associated with neurological deterioration. J

Neurosurg 1996, 85:566–573.

4. George J, Das S, Egger AC, Chambers RC, Kuivila

TE, Goodwin RC. Influence of intraoperative

neuromonitoring on the outcomes of surgeries for

pediatric scoliosis in the United States. Spine

Deform 2019;7:27–32.

5. Jones SJ, Buonamassa S, Crockard HA: Two cases of

quadriparesis following anterior cervical

discectomy, with normal perioperative

somatosensory evoked potentials. J Neurol

Neurosurg Psychiatry. 2003, 74:273-6.

6. Minahan RE, Sepkuty JP, Lesser RP, Sponseller PD,

Kostuik JP: Anterior spinal cord injury with

preserved neurogenic “motor” evoked potentials.

Clin Neurophysiol2001, 112:1442–50.

7. Zornow MH, Grafe MR, Tybor C, Swenson MR:

Preservation of evoked potentials in a case of

anterior spinal artery syndrome. Electroencephalogr

Clin Neurophysiol 1990, 77:137-9.

8. Lesser RP, Raudzens P, Lüders H, et al.: Postoperative

neurological deficits may occur despite unchanged

intraoperative somatosensory evoked potentials.

Ann Neurol. 1986, 19:22-5.

9. Schwartz DM, Auerbach JD, Dormans JP, et al.:

Neurophysiological detection of impending spinal

cord injury during scoliosis surgery. J Bone Jt Surg.

2007, 89:2440-9.

10. Vitale MG, Moore DW, Matsumoto H, et al.: Risk

factors for spinal cord injury during surgery for

spinal deformity. J Bone Jt Surg Am. 2010, 92:64–

71.

11. Devlin VJ, Schwartz DM: Intraoperative

neurophysiologic monitoring during spinal surgery.

J Am Acad Orthop Surg. 2007, 15:549-60.

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12. Biscevic M, Sehic A, Biscevic S, et al. Kyphosis: a

risk factor for positioning brachial plexopathy

during spinal surgeries. Acta Orthop Traumatol

Turc 2019;53:199–202.

13. Szalay EA, Carollo JJ, Roach JW: Sensitivity of spinal

cord monitoring to intraoperative events. J Pediatr

Orthop. 1986, 6:437-41.

14. Dawson EG, Sherman JE, Kanim LE, Nuwer MR:

Spinal cord monitoring. Results of the Scoliosis

Research Society and the European Spinal

Deformity Society survey. Spine (Phila Pa 1976).

1991, 16:S361-4.

15. Sebastián C, Raya JP, Ortega M, Olalla E, Lemos V,

Romero R: Intraoperative control by somatosensory

evoked potentials in the treatment of cervical

myeloradiculopathy. Eur Spine J 1997, 6:316-23.

16. Gavaret M, Pesenti S, Pennaroli D, et

al. Intraoperative neuromonitoring in pediatric

spinal deformity surgery: risk factors analysis about

1048 cases. Clin Surg 2019;2455:1–7.

17. Scibilia A, Terranova C, Rizzo V, et al.: Intraoperative

neurophysiological mapping and monitoring in

spinal tumor surgery: sirens or indispensable tools?.

Neurosurg Focus. 2016, 41:E18.

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Studies in Medical Sciences, Vol. 31(8), November 2020

Case Report

INTRAOPRATIVE NEUROMONITORING IN PATIENT WITH A

CERVICAL SPINAL CORD MENINGIOMA: A CASE REPORT

Aydin kazempour azar , Amir kamalifar , Javad aghazadeh ,

Firouz Salehpour , Samar kamalifar

Received: 26 May, 2020; Accepted: 22 September, 2020

Abstract Intraoperative spinal cord and nerve root monitoring is used to identify an insult to the neural elements

with the goal of preventing injury,beacause of high rate of neurological deficit in spinal surgery, the use

of intraoprative neuromonitoring can detect the iatrogenic neural deficit in surgery and help the surgeon

to review the operation. We introduced the 51 years old women with a cervical cord meningioma to be

operated under intraoprative neuromonitoring.

Keywords: Meningioma, Spinal cord tumor, Neuromonitoring

Address: Department of Neurosurgery, Urmia University of Medical Sciences, Urmia, Iran

Tel: 984431988000

Email: [email protected]

SOURCE: STUD MED SCI 2020: 31(8): 613 ISSN: 2717-008X

1 Assistant Professor, Department of Neurosurgery, Urmia University of Medical Sciences, Urmia, Iran 2 Assistant Professor of Neurosurgery, Department of Neurosurgery, Urmia University of Medical Sciences,

Urmia, Iran (Corresponding Author) 3 Associate Professor of Neurosurgery, Urmia University of Medical Sciences, Urmia, Iran 4 Professor of Neurosurgery, Tabriz University of Medical Sciences, Tabriz, Iran 5 Member of Student Research Committee of Arak University of Medical Sciences, Arak, Iran

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