Francesco Sala Archives - Clinical Tree

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Intraoperative Neurophysiology: A Tool to Prevent and/or Document Intraoperative Injury to the Nervous System

Over the past 25 years, intraoperative neurophysiology (ION) has established itself as a clinical discipline that uses neurophysiologic methods—especially developed or modified from existing methods of clinical neurophysiology—to detect and prevent intraoperatively induced neurologic injuries. Recent developments have solidified its…

Neurophysiological monitoring during endovascular procedures on the spine and the spinal cord

29.1 Spinal cord vascularization and ischemia 29.1.1 Vascular anatomy of the human spinal cord Before describing the role of neurophysiological monitoring during endovascular procedures aimed to treat spinal hypervascular lesions, an overview on the vascular anatomy of the normal spinal…

Intraoperative neurophysiological monitoring in tethered cord surgery

27.1 Introduction Tethered cord syndrome (TCS) is a complex and progressive clinical and radiological condition, secondary to an embryologic failure of spinal cord development, which induces various types of spinal dysraphisms. These defects ultimately cause a radicular-medullary stretch that generates…

Surgery of brainstem lesions

22.1 Introduction In 1939, Bailey et al. described the treatment of brainstem gliomas as “a pessimistic chapter” in the history of neurosurgery . Thirty years later, Matson stated, “regardless of specific histology (they) must be all classified as malignant tumors,…

Surgery of brain tumors asleep

20.1 Introduction In surgery of supratentorial brain tumors, prompt and complete resection offers the most favorable outcome; however, damage to essential cortico-subcortical structures may cause permanent neurological deficits . The surgeon faces a complex balance between radicality of resection and…

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Intraoperative Neurophysiology: A Tool to Prevent and/or Document Intraoperative Injury to the Nervous System

Conclusion

Neurophysiological monitoring during endovascular procedures on the spine and the spinal cord

Intraoperative neurophysiological monitoring in tethered cord surgery

Surgery of brainstem lesions

Surgery of brain tumors asleep