Can I read Multimodal Intraoperative Monitoring During Intramedullary Spinal Cord Tumor Surgery on EtoBox?

Multimodal Intraoperative Monitoring During Intramedullary Spinal Cord Tumor Surgery by Seung-Hyun Jin; Chun Kee Chung; Chi Heon Kim; Young Doo Choi; Gilho Kwak; Bo Eun Kim is a Medicine article available to read on EtoBox.

What is Multimodal Intraoperative Monitoring During Intramedullary Spinal Cord Tumor Surgery about?

## Background: The aim of this work is to evaluate the utility of multimodal intraoperative monitoring (iom) during intramedullary spinal cord tumor (imsct) surgery in our institution, and to investigate which iom events are likely to be encountered during critical surgical phases. ## Methods: Twenty-five patients who underwent imsct surgery with iom were included in this study. our multimodal iom assessment included ssep, mmep, and femg monitoring. positive predictive value (ppv), negative predictive value (npv), sensitivity, and specificity were assessed 24 h and 1 month after surgery. the iom events during three main surgical phases were also investigated. for mmep assessment, two warning criteria (>50 % decrease in mmep amplitude and all-or-none mmep amplitude presence) were employed. ## Results: Long-term outcome prediction was better when the all-or-none criterion was applied than when the >50 % amplitude decrease criterion was applied. based on the all-or-none criterion, the ppv, npv, sensitivity, and specificity were 60, 100, 100, and 91 %. frequent iom events were observed during the three major main surgical phases. seven (29 %) patients showed ssep events during opening

Who reads Multimodal Intraoperative Monitoring During Intramedullary Spinal Cord Tumor Surgery?

Author

Seung-Hyun Jin; Chun Kee Chung; Chi Heon Kim; Young Doo Choi; Gilho Kwak; Bo Eun Kim

Published

2015

Language

EN

Field

Medicine (Health Sciences)