Author/Editor     Cioni, B; Meglio, M; Cabezas-Cuevas, D; Visocchi, M; Perotti, V
Title     Multimodality neurophysiological monitoring during cervical DREZ-operation for pain relief
Type     članek
Source     In: Stalberg EV, de Weerd AW, Zidar J, editors. ECCN 98. 9th European congress of clinical neurophysiology; 1998 Jun 4-7; Ljubljana. Bologna: Monduzzi editore,
Publication year     1998
Volume     str. 403-7
Language     eng
Abstract     Surgical lesion of the dorsal root entry zone (DREZ) carries a risk of damaging the large diameter fibers at segmental level, the posterior columns and the corticospinal tracts. We performed the cervical DREZ lesions with the assistance of an intraoperative neurophysiological monitoring (IOM) which consisted of: 1 - segmental somatosensory evoked potentials (SEEPs) recorded at Cv6 level from a subdural electrode in order to monitor the large diameter fibers and the activity of dorsal horn neurons: 2 - conducted somatosensory evoked potentials (CSEPs) recorded at Cv3 vertebral level from an epidural electrode in order to monitor the dorsal columns function; 3 - motor evoked potentials (MEPs) recorded from a Th2 epidural electrode in order to monitor cortico-spinal tracts activity. We report the results obtained in the first 2 patients.
Descriptors     SPINAL NERVE ROOTS
INTRAOPERATIVE PERIOD
EVOKED POTENTIALS, SOMATOSENSORY
PYRAMIDAL TRACTS
LAMINECTOMY