BookSilvia Mazzali Verst, Maria Rufina Barros, Marcos Vinicius Calfat Maldaun, editors.
Summary: In recent decades, the advances in and consolidation of Intraoperative Neurophysiological Monitoring (IOM) in several highly complex surgical areas have been undeniable. Currently all modalities of neurophysiological tests (SSEP, MEP, EMG, PEATC, VEP, BRAIN MAPPING, ETC) are performed in the operating room, where they are used to provide trans operative information on the patient's neurological status in real time (monitoring), and to identify neural structures which are at immediate risk (mapping). With the inarguably positive impact of IOM on surgical outcomes, there is an increasing interest in reliable, technically focused literature. This volume provides cutting-edge information in the field of IOM, and highlights new neurophysiological tools being used in various surgeries. The book's initial sections cover a range of topics, including an anatomical overview, electrical safety, and detailed technical descriptions of the neurophysiological tests used in IOM. The subsequent sections address e.g. the brain, brainstem, spinal cord, vascular and peripheral nerves, epilepsy, head and neck, movement disorders and special topics. Some chapters are accompanied by videos of surgeries and IOM so that the reader will have the real sensation of having been in the operating room and will gain an overview of the key steps. Written by experts in the field of IOM, the book offers a valuable resource for both experienced and early-career neurophysiologists, neurosurgeons, vascular and orthopedic surgeons, and surgeons involved with pelvic procedures. Further, its goal is to provide a real rapport, never before attained, between neurophysiologists and surgeons with a sole focus: excellence in terms of the final outcome.
Contents:
Part I. Overview
1. History of Intraoperative Neurophysiological Monitoring in Brazil: Reports from the pioneers and a glance in Latin America
2. Intraoperative Neurophysiological Monitoring in Brazil: Regulatory Aspects, Training and Evidence Level
3. Muscle Motor Point Atlas and Needling Pitfalls
4. Safety and troubleshooting
5. Central Nervous System Anesthesia: asleep approach
Part II. Neurophysiological Modalities Applied to IOM
6. Brainstem Auditory Evoked Potential
7. Evoked Potential - Visual Pathways Approach beyond Visual Evoked Potentials
8. Somatosensory Evoked Potentials
9. Motor Evoked Potential
10. Intraoperative Monitoring: Electroencephalogram
11. Electromyography
12. Brainstem Reflexes
Part III. Brain Functions: Eloquent Areas
13. The Brain Surface
14. Motor and Somatosensory
15. Anesthesia: Awake Approach
16. Anatomy- Language Network and DTI
17. Awake Surgery: Performing an Awake Craniotomy
Part IV. Brainstem and Cranial Nerve Function
18. Language and Cognitive Tests- A Target-Guided Protocol
19. Cranial Nerves Monitoring III to XII
20. Fourth Ventricle's Floor Mapping
21. Microvascular Decompression
Part V. Spine and Spinal Cord Surgery
22. Spinal Deformity Surgery
23. Lumbar Interbody Fusion Surgeries - LIFS
24. Cervical Spinal Surgery
25. Tethered Cord Syndrome
26. Selective Dorsal Rhizotomy and Intraoperative Neurophysiological Monitoring
27. Intramedullary Spinal Cord Tumors
Part VI. Vascular Surgery
28. Intraoperative neurophysiologic monitoring of cerebrovascular disorders
29. Intraoperative neurophysiologic monitoring for thoracic and thoracoabdominal aortic procedures
Part VII. Pheripheral Nerve Surgery
30. Peripheral Nerve: Neurophysiology as A Tool to Optimize Topographic Accuracy and Surgical Planning
Part VIII. Head and Neck Surgery
31. Monitoring in Facial, Neck and Ear Surgeries
Part IX. Epilepsy Surgery
32. Intraoperative Monitoring in Epilepsy Surgery
Part X. Movement Disorders Surgery
33. Neurophysiological Guidance for Movement Disorder Surgery
Part XI. Special Topics
34. IOM in Pelvic Floor:Gynecological and Urological Surgeries.