Microstereometrically Guided Cortical Stimulation for the Intraoperative Identification of the Central Motor Strip
Autor: | Silke Talies, Gerhard A. Horstmann, Hans F. Reinhardt, Birgit Westermann |
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Rok vydání: | 1995 |
Předmět: |
Adult
Male Brain Mapping Brain Neoplasms business.industry Motor Cortex Stimulation Middle Aged Evoked Potentials Motor Sonar Electric Stimulation Computer aided surgery Stereotaxic Techniques Intraoperative Period Identification (information) Humans Medicine book.journal Female Surgery Neurology (clinical) business Neuroscience book Aged |
Zdroj: | Stereotactic and Functional Neurosurgery. 65:130-135 |
ISSN: | 1423-0372 1011-6125 |
DOI: | 10.1159/000098684 |
Popis: | A rangable stimulation tool based on the sonar microstereometric system has been developed for the intraoperative identification of the central motor strip. The elicited motor evoked potentials (MEPs) were recorded with surface electrodes and displayed together with the corresponding stereometric coordinates of the stimulation site. MEP data were overlaid in 'real time' on preoperatively scanned CT images on a computer screen. The system has been used during open microsurgical procedures in 6 patients with small tumors near the central motor strip or related 'eloquent' areas. Three operations have been performed under local anesthesia, 3 under general anesthesia. It was possible to operate on tumors located closely to functionalal relevant areas of the brain not only stereotactically, but also with function guidance. |
Databáze: | OpenAIRE |
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