Intraoperative Neurophysiologic Monitoring and Mapping During Surgery on Intramedullary Spinal Cord Tumors in Children and Adolescents.
J Clin Neurophysiol
; 41(2): 116-122, 2024 Feb 01.
Article
em En
| MEDLINE
| ID: mdl-38306219
ABSTRACT
SUMMARY:
Surgical resection of intramedullary spinal cord tumors carries significant risks of neurologic deficits, especially in cases of infiltrative tumors. In pediatric patients, this type of surgery may be associated with a high risk of poor neurologic outcome. Intraoperative neurophysiologic monitoring has been adopted as part of the clinical routine by many centers as a useful adjunct for intraoperative assessment of neurologic integrity. To what extent intraoperative neurophysiologic mapping strategies may further support intraoperative decision-making is still a matter of debate. Here, we report on a small cohort of five pediatric patients in whom mapping with the double-train paradigm was used to identify the dorsal column and corticospinal tract and to guide the surgical resection. We also discuss the possible benefits and challenges regarding the available literature.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Medula Espinal
/
Monitorização Neurofisiológica Intraoperatória
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article