LESIONS OF THE SENSORIMOTOR REGION - SOMATOSENSORY EVOKED-POTENTIALS AND ULTRASOUND GUIDED SURGERY

被引:28
作者
FIRSCHING, R [1 ]
KLUG, N [1 ]
BORNER, U [1 ]
SANKER, P [1 ]
机构
[1] UNIV COLOGNE,INST ANAESTHESIOL,W-5000 COLOGNE 41,GERMANY
关键词
MOTOR CORTEX; ULTRASOUND SONOGRAPHY; SOMATOSENSORY EVOKED POTENTIALS;
D O I
10.1007/BF01401291
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In 10 patients with lesions of the sensorimotor cortex cortical SEP were registered to identify the postcentral gyrus, and intra-operative ultrasound sonography served to locate the lesion. The combination of both techniques helped to find the optimal approach to the lesion. Postoperative results were considered favourable, as only one patient suffered transient postoperative deterioration, six were unchanged and in three patients the pre-operative motor deficits were improved. The combination of intra-operative ultrasound and neurophysiological identification of the sensorimotor cortex is concluded as being useful in surgery within this region.
引用
收藏
页码:87 / 90
页数:4
相关论文
共 11 条
[1]   CORTICAL MAPPING FOR DEFINING THE LIMITS OF TUMOR RESECTION [J].
BLACK, PM ;
RONNER, SF .
NEUROSURGERY, 1987, 20 (06) :914-919
[2]   INTRA-OPERATIVE USE OF REAL-TIME ULTRASONOGRAPHY IN NEUROSURGERY [J].
CHANDLER, WF ;
KNAKE, JE ;
MCGILLICUDDY, JE ;
LILLEHEI, KO ;
SILVER, TM .
JOURNAL OF NEUROSURGERY, 1982, 57 (02) :157-163
[3]   A note upon the faradic stimulation of the postcentral gyrus in conscious patients. [J].
Cushing, H .
BRAIN, 1909, 32 :44-53
[4]   TUMOR-SURGERY WITHIN THE CENTRAL MOTOR STRIP - SURGICAL RESULTS WITH THE AID OF ELECTRICAL MOTOR CORTEX STIMULATION [J].
EBELING, U ;
SCHMID, UD ;
REULEN, HJ .
ACTA NEUROCHIRURGICA, 1989, 101 (3-4) :100-107
[5]   The structural basis of traumatic epilepsy and results of radical operation. [J].
Foerster, O ;
Penfield, W .
BRAIN, 1930, 53 :99-119
[6]   SURGICAL-MANAGEMENT OF EPILEPSY USING EPIDURAL RECORDINGS TO LOCALIZE THE SEIZURE FOCUS - REVIEW OF 100 CASES [J].
GOLDRING, S ;
GREGORIE, EM .
JOURNAL OF NEUROSURGERY, 1984, 60 (03) :457-466
[7]   LOCALIZATION OF FUNCTION IN THE EXCISION OF LESIONS FROM THE SENSORIMOTOR REGION [J].
GREGORIE, EM ;
GOLDRING, S .
JOURNAL OF NEUROSURGERY, 1984, 61 (06) :1047-1054
[8]   CORTICAL LOCALIZATION AND MONITORING DURING CEREBRAL OPERATIONS [J].
KING, RB ;
SCHELL, GR .
JOURNAL OF NEUROSURGERY, 1987, 67 (02) :210-219
[10]   Somatic motor and sensory representation in the cerebral cortex of man as studied by electrical stimulation [J].
Penfield, W ;
Boldrey, E .
BRAIN, 1937, 60 :389-443