Completely revised and updated second edition of the leading reference on intraoperative neurophysiology, this book covers IOM from the most basic theoretical and technical concepts to the most sophisticated procedures, placing them within the specific surgical context. Written by a multidisciplinary team of experts from Massachusetts General Hospital/Harvard Medical School, Intraoperative Neurophysiology provides a step-by-step approach to monitoring and mapping for a wide variety of complex surgical procedures by progressively building on prior learned material. Covering everything from set-up to troubleshooting and medical management, this book presents an integrated blueprint for choosing the right tests and customizing IOM procedures to the demands of each surgical challenge.

Comprehensive in scope and filled with over 650 helpful illustrations, tables, and neurophysiologic recordings to aid interpretative understanding, this expanded edition includes practical examples of monitoring and mapping and details the importance of an individualized approach to IOM. A highly visual book, it continues to serve as a primary resource for physicians and technologists involved in monitoring to help reduce the operative risk of neurological damage in surgical patients.

New to the Second Edition:

• Extensively broadened coverage of critical topics including mapping procedures brain mapping, and primary neurophysiologic testing in the operating room
• Six entirely new chapters on pediatric neuromonitoring, cerebral aneurysms, electrocorticography, deep brain stimulation, intradural extramedullary tumors, and cardiac procedures
• Enhanced decompressive and deformity correction surgery chapters with added description of surgical steps and mechanisms of injury
• Over 650 high-quality images to enrich and instruct readers
• ۱۰۰ multiple-choice questions and answers with rationales referenced back to the chapters for targeted review

Contents

Chapter 1: Neurophysiologic Tests in the Operating Room
Chapter 2: Anesthesia and Intraoperative Neurophysiology
Chapter 3: The Trouble of Troubleshooting
Chapter 4: EEG Monitoring During Carotid Endarterectomy
Chapter 5: Neurophysiologic Monitoring During Cardiac and Thoracic Aortic Surgery
Chapter 6: Intraoperative Electrocorticography in Epilepsy Surgery
Chapter 7: Electrocorticography in Nonepilepsy Surgery
Chapter 8: An Introduction to Functional Mapping
Chapter 8A: Mapping and Monitoring of Motor and Primary Somatosensory Functions
Chapter 8B: Mapping and Monitoring of Language and Parietal Functions
Chapter 8C: Intraoperative Neurophysiologic Monitoring and Mapping of the Visual Pathways
Chapter 9: Surgical Clipping of Cerebral Aneurysms: General Surgical Approach and the Role of Neuromonitoring
Chapter 10: Deep Brain Stimulation
Chapter 11: Neurophysiologic Mapping and Monitoring of Cranial Nerves and Brainstem
Chapter 12: Intramedullary Spinal Cord Tumor Resection
Chapter 13: Intradural Extramedullary Spinal Cord Tumor Resection
Chapter 14: Decompressive Surgery of the Spine
Chapter 15: Spine Deformity Surgery
Chapter 16: Intraoperative Neurophysiologic Monitoring in Thoracoabdominal Aneurysm Repair
Chapter 17: Intraoperative Neurophysiology in Peripheral Nerve Surgery
Chapter 18: Intraoperative Neurophysiologic Monitoring and Mapping in Pediatric Population
Chapter 19: Preoperative Functional Mapping for Epilepsy Surgery
Chapter 20: Questions and Answers