Les explorations neurophysiologiques dans les tumeurs médullaires

Obadia, Nathalie; Mauguı̀ere, François

doi:10.1016/j.neuchi.2016.06.003

Cited by 4 publications

(6 citation statements)

References 44 publications

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“…Neurophysiological monitoring is an important tool intended to eliminate or reduce this surgical risk. [ 16 17 18 19 20 21 22 23 24 25 26 27 28 ] To date, both SSEP and transcranial MEP monitoring techniques have been used. Continuous electromyography and D-wave are also recommended, increasing the sensitivity and specificity of intraoperative findings.…”

Section: Discussionmentioning

confidence: 99%

“…Continuous electromyography and D-wave are also recommended, increasing the sensitivity and specificity of intraoperative findings. [ 16 17 18 19 20 21 22 23 24 25 26 27 28 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 2 3 4 5 6 7 8 9 10 ] The most common type of IMSCT is ependymoma, followed by astrocytoma. [ 11 12 13 14 15 16 17 18 19 20 21 22 ] Pain manifested as back pain, radicular pain, or neuropathic pain has been reported to be the most common presenting symptom in patients with an IMSCT. Other common symptoms include motor disturbances and sensory symptoms (dermatomal, saddle, or segmental).…”

Section: Introductionmentioning

confidence: 99%

“…To reduce the risk of iatrogenic complications, intraoperative neuromonitoring (IONM) is a worldwide adopted measure. [ 18 19 20 21 22 23 24 25 26 27 28 ] Several different monitoring modalities are currently in use. [ 8 9 10 ] Although IONM is widely used, and many single-center studies have been conducted, no high evidence study has clearly defined the added value, in terms of overall sensitivity and specificity to detect or prevent neuronal injury of the different monitoring techniques used in IMSCT surgery.…”

Section: Introductionmentioning

confidence: 99%

“…[ 8 9 10 ] Although IONM is widely used, and many single-center studies have been conducted, no high evidence study has clearly defined the added value, in terms of overall sensitivity and specificity to detect or prevent neuronal injury of the different monitoring techniques used in IMSCT surgery. [ 16 17 18 19 20 21 22 23 24 25 26 27 28 ]…”

Section: Introductionmentioning

confidence: 99%

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Correlation of intraoperative neurophysiological parameters and outcomes in patients with intramedullary tumors

et al. 2021

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Introduction: Intramedullary spinal cord tumors (IMSCT) account for about 2%–4% of all central nervous system tumors. Surgical resection is the main treatment step, but might cause damage to functional tissues. Intraoperative neuromonitoring (IONM) is an adopted measure to decrease surgical complications. Below, we describe the results of IMSCT submitted to surgery under IONM at a tertiary institution. Methods: The sample consisted of consecutive patients with IMSCT admitted to the Neurological Institute of Curitiba from January 2007 to November 2016. A total of 47 patients were surgically treated. Twenty-three were male (48.9%) and 24 were female (51.1%). The mean age was 42.77 years. The mean follow-up time was 42.7 months. Results: Neurological status improved in 29 patients (62%), stable in 6 (13%), and worse in 12 (25%). Patients who presented with motor symptoms at initial diagnosis had a worse outcome compared to patients with sensory impairment and pain ( P = 0.026). Patients with a change in electromyography had worse neurological outcomes compared to patients who did not show changes in monitoring ( P = 0.017). Discussion and Conclusion: No prospective randomized high evidence study has been performed to date to compare clinical evolution after surgery with or without monitoring. In our sample, surgical resection was well succeeded mainly in oligosymptomatic patients with low preoperative McCormick classification and no worsening of IONM during surgery. We believe that microsurgical resection of IMSCT with simultaneous IONM is the gold standard treatment and achieved with good results.

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Section: Discussionmentioning

confidence: 99%

“…Continuous electromyography and D-wave are also recommended, increasing the sensitivity and specificity of intraoperative findings. [ 16 17 18 19 20 21 22 23 24 25 26 27 28 ]…”

Section: Discussionmentioning

confidence: 99%