Analysis of the results of intraoperative neurophysiological monitoring in the Center of Neurosurgery of Railway Clinical Hospital at the Irkutsk-Passazhirskiy Railway Station of Russian Railways Ltd
https://doi.org/10.12737/22942
Abstract
The reduction of postoperative complication rate is a significant trend in modern surgery. One of the most important methods of intraoperative diagnostics is intraoperative neurophysiological monitoring (IONM). The aim of the research was to assess capabilities of intraoperative neurophysiological monitoring in neurosurgical practice considering literature data and experience of IONM application in the Center of Neurosurgery Railway Clinical Hospital at the Irkutsk-Passazhirskiy Railway Station of Russian Railways Ltd. We conducted 17 surgeries using IONM. We described the procedure, analyzed data of monitoring and patients' condition in early postoperative period. No deviations requiring modifications in surgical manipulations were found during neuromonitoring. No iatrogenic neurological disorders were registered in postoperative period. Intraoperative neurophysiological monitoring is an additional effective method which allows reducing the risk of postoperative complications and indirectly improving the results of surgical manipulations.
About the Authors
G. Y. Levina
Railway Clinical Hospital at the Irkutsk-Passazhirskiy Railway Station of Russian Railways Ltd
Russian Federation
Russian Federation
A. S. Borisov
Clinic of Nervous Diseases of Irkutsk State Medical University
Russian Federation
Russian Federation
A. A. Kalinin
Railway Clinical Hospital at the Irkutsk-Passazhirskiy Railway Station of Russian Railways Ltd.; Irkutsk State Medical University
Russian Federation
Russian Federation
V. A. Byvaltsev
Railway Clinical Hospital at the Irkutsk-Passazhirskiy Railway Station of Russian Railways Ltd; Irkutsk State Medical University; Irkutsk Scientific Center of Surgery and Traumatology; Irkutsk State Medical Academy of Continuing Education
Russian Federation
Russian Federation
References
1. Аракелян В.С., Щаницын И.Н. Методы мониторинга состояния спинного мозга при операциях на аорте // Бюллетень НЦССХ им. А.Н. Бакулева РАМН. Сердечно-сосудистые заболевания. - 2012. - № 6. С. 26-33
2. Об утверждении перечня видов высокотехнологичной медицинской помощи: Приказ Минздрава России № 565н от 12 августа 2013 г. - Режим доступа: http://www.rosminzdrav.ru/documents/5391-prikaz-minzdrava-rossii-n-565n-ot-12-avgusta-2013-g (дата обращения 20.08.2015)
3. Румянцев П.О. Интраоперационный нейромониторинг при операциях на голове и шее // Опухоли головы и шеи. - 2012. - № 1. - С. 32-36
4. Утеуова С.А., Жумадильдина А.Ж., Мауль Я.Я. Опыт применения интраоперационного нейромониторинга в хирургии опухолей мостомозжечкового угла // Нейрохирургия и неврология Казахстана. - 2015. - № 1. - С. 29-33
5. Crawford ES, Mizrahi EM, Hess KR, Coselli JS, Safi HJ, Patel V (1988). The impact of distal aortic perfusion and somatosensory evoked potential monitoring on prevention of paraplegia after aortic aneurysm operation. J. Thorac. Cardiovasc. Surg., (95), 357-367.
6. Deletis V (2002). Intraoperative neurophysiology and methodologies used to monitor the functional integrity of the motor system. In: Deletis V (ed.). Neurophysiology in neurosurgery. A modern intraoperative approach, 25-51.
7. Guo L, Gelb AW (2011). The use of motor evoked potential monitoring during cerebral aneurysm surgery to predict pure motor deficits due to subcortical ischemia. Clin. Neurophysiol., 122 (4), 648-655.
8. Husain AM (ed.) (2008). A practical approach to neurophysiologic intraoperative monitoring, 429.
9. Jimenez JC, Sani S, Braverman B, Deutsch H (2005). Palsies of the fifth cervical nerve root after cervical decompression: prevention using continuous intraoperative electromyography monitoring. J. Neurosurg. Spine, 3 (2), 92-97.
10. Kelleher MO, Tan G, Sarjeant R, Fehlings MG (2008). Predictive value of intraoperative neurophysiological monitoring during cervical spine surgery: A prospective analysis of 1055 consecutive patients. J. Neurosurg. Spine, 8 (3), 215-221.
11. Lee JJ, Kim YI, Hong JT, Sung JH, Lee SW, Yang SH (2014). Intraoperative monitoring of motor-evoked potentials for supratentorial tumor surgery. J. Korean Neurosurg. Soc, 56 (2), 98-102.
12. Lieberman JA, Lyon R, Feiner J (2008). The efficacy of motor evoked potentials in fixed sagittal imbalance deformity correction surgery. Spine, 33 (13), Е414-Е424.
13. Tamaki T, Kubota S (2007). History of the development of intraoperative spinal cord monitoring. Eur. Spine J., 16 (2), 140-146.
14. Wiedemayer H, Sandalcioglu IE, Armbruster W, Regel J, Schaefer H, Stolke D (2004). False negative findings in intraoperative SEP monitoring: analysis of 658 consecutive neurosurgical cases and review of published reports. J. Neurol. Neurosurg. Psychiatry., (75), 280-286.
Review
For citations:
Levina G.Y., Borisov A.S., Kalinin A.A., Byvaltsev V.A. Analysis of the results of intraoperative neurophysiological monitoring in the Center of Neurosurgery of Railway Clinical Hospital at the Irkutsk-Passazhirskiy Railway Station of Russian Railways Ltd. Acta Biomedica Scientifica. 2016;1(4):46-50. (In Russ.) https://doi.org/10.12737/22942
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