[Intraoperative monitoring for spinal cord tumor by spinal cord evoked potential following unilateral spinal cord stimulation].
We described our experiences with intraoperative spinal cord monitoring in 6 cases of spinal cord tumor. During the operation, spinal cord evoked potential following unilateral spinal cord stimulation was recorded from subdural monitoring electrodes. This series included two cases of intradural extramedullary tumor (one case each of neurinoma and of meningioma) and four cases of intramedullary tumor (2 cases of cavernous angioma, one case each of ependymoma, and of glioblastoma multiforme). Before the removal of the tumor, the spinal cord evoked potential showed lower amplitude or no response on the more affected side in all 6 cases. During the operation, the different intraoperative changes were shown on each side. The authors think that the detection of unilateral damage to the spinal cord is possible in spinal cord evoked potential using unilateral spinal cord stimulation.
Department of Neurosurgery, Kushiro Rousai Hospital.
T
T
Isu
K
K
Kamada
N
N
Kobayashi
I
I
Koyanagi
D000328:Adult; D000368:Aged; D004558:Electric Stimulation; D004806:Ependymoma / Q000175:diagnosis / Q000503:physiopathology; D005071:Evoked Potentials; D005260:Female; D005909:Glioblastoma / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011184:Postoperative Period; D011379:Prognosis; D013116:Spinal Cord / Q000503:physiopathology*; D013120:Spinal Cord Neoplasms / Q000175:diagnosis* / Q000503:physiopathology