In gratitude of the loyal support of our members, the CNS is offering complimentary 2021 Annual Meeting registration to all members! Learn more.

  • Intraoperative Neurophysiology Monitoring for Intradural Spinal Tumours - Is it Really Useful?

    Final Number:
    1243

    Authors:
    Pragnesh Bhatt MS, MCh, FRCS, EANS; Anthony Wiggins MBBS, MRCS; Alan Foster FRCP

    Study Design:
    Clinical Trial

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2016 Annual Meeting

    Introduction: Modern day neurosurgery requires maximum safety and use of available technology. Intraoperative neurophysiology monitoring has become invaluable adjunct to spinal surgery.

    Methods: From April 2008 to January 2016, 50 intra-dural spinal tumours were treated in our unit. All patients underwent complete pre-operative and post-operative clinical and radiological assessment. The surgeon performed thorough pre-operative neurological examination. Radiological assessment was performed using pre-operative and post-operative MRI with contrast. Majority patients of the present series were discussed with neurophysiologist and operated on using intra-operative neurophysiological monitoring (when feasible) following different settings depending on the location of the tumour.

    Results: Neurophysiology monitoring was used with suitable techniques depending on the location and extent of the tumours. Intra-operative stimulation of the nerve roots was used as well. Patient outcome was significantly improved with the use of intra-operative neurophysiology monitoring.

    Conclusions: The use of appropriate intraoperative neurophysiology monitoring in selected cases of intradural spinal tumours increases safety of surgical excision and surgeons' confidence/ comfort during the operative procedure.

    Patient Care: This will allow maximum safe resection and enhance surgeon satisfaction/ confidence in critical areas.

    Learning Objectives: Role of intra-operative neurophysiology monitoring in intradural spinal tumours is found to be increasingly benificial and application of appropriate technique is of paramount importance.

    References:

We use cookies to improve the performance of our site, to analyze the traffic to our site, and to personalize your experience of the site. You can control cookies through your browser settings. Please find more information on the cookies used on our site. Privacy Policy