Chinese Journal of Contemporary Neurology and Neurosurgery ›› 2020, Vol. 20 ›› Issue (11): 929-935. doi: 10.3969/j.issn.1672-6731.2020.11.001

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Updates on intraoperative neurophysiological monitoring

ZHANG Jian-guo1,2, QIAO Hui2   

  1. 1 Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China;
    2 Beijing Neurosurgical Institute, Beijing 100070, China
  • Received:2020-11-13 Online:2020-11-25 Published:2020-12-02
  • Supported by:

    This study was supported by the National Natural Science International (Regional) Cooperation and Exchange Foundation of China (No. 81830033) and the National Natural Science Key Foundation of China (No. 61761166004).

术中神经电生理监测现状与进展

张建国1,2, 乔慧2   

  1. 1 100070 首都医科大学附属北京天坛医院神经外科;
    2 100070 北京市神经外科研究所
  • 通讯作者: 张建国,Email:zjguo73@126.com;乔慧,Email:hqiao1215@sina.com
  • 基金资助:

    国家自然科学基金国际(地区)合作与交流资助项目(项目编号:81830033);国家自然科学基金重点资助项目(项目编号:61761166004)

Abstract:

Intraoperative neurophysiological monitoring (IONM) is known to monitor the functional integrity of the nervous system and reflect the existence of nerve injury through the application of various neurophysiological techniques to protect neural structures at risk. IONM also plays an important role in functional areas mapping and identification of specific nerves or structures. Though it becomes a widely used mature technology, there are still many problems need to be further discussed.

Key words: Electrophysiology, Monitoring, intraoperative, Evoked potentials, Electromyography, Electroencephalography, Review

摘要:

术中神经电生理监测通过多种神经电生理技术,监测神经传导的完整性,实时反映术中神经功能,以减少潜在的神经损伤,提高手术疗效。术中神经电生理监测在辅助定位皮质功能区和重要神经传导通路、辨别特定神经组织方面同样发挥重要作用,目前已成为普遍应用的成熟技术,但也存在诸多问题。本文简要概述术中神经电生理监测的现状与进展。

关键词: 电生理学, 监测,手术中, 诱发电位, 肌电描记术, 脑电描记术, 综述