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• W1566843450 endingPage "126" @default.
• W1566843450 startingPage "114" @default.
• W1566843450 abstract "Object Thoracic idiopathic spinal cord herniation (TISCH) is a rare neurological disorder characterized by an incarceration of the spinal cord at the site of a ventral dural defect. The disorder is associated with clinical signs of progressive thoracic myelopathy. Surgery can withhold the natural clinical course, but surgical repair of the dural defect bears a significant risk of additional postoperative motor deficits, including permanent paraplegia. Intraoperative online information about the functional integrity of the spinal cord and warning signs about acute functional impairment of motor pathways could contribute to a lower risk of permanent postoperative motor deficit. Motor evoked potential (MEP) monitoring can instantly and reliably detect dysfunction of motor pathways in the spinal cord. The authors have applied MEPs during intraoperative neurophysiological monitoring (IOM) for surgical repair of TISCH and have correlated the results of IOM with its influence on the surgical procedure and with the functional postoperative outcome. Methods The authors retrospectively reviewed the intraoperative neurophysiological data and clinical records of 4 patients who underwent surgical treatment for TISCH in 3 institutions where IOM, including somatosensory evoked potentials and MEPs, is routinely used for spinal cord surgery. In all 4 patients the spinal cord was reduced from a posterior approach and the dural defect was repaired using a dural graft. Results Motor evoked potential monitoring was feasible in all patients. Significant intraoperative changes of MEPs were observed in 2 patients. The changes were detected within seconds after manipulation of the spinal cord. Monitoring of MEPs led to immediate revision of the placement of the dural graft in one case and to temporary cessation of the release of the incarcerated spinal cord in the other. Changes occurred selectively in MEPs and were reversible. In both patients, transient changes in intraoperative MEPs correlated with a reversible postoperative motor deficit. Patients without significant changes in somatosensory evoked potentials and MEPs demonstrated no additional neurological deficit postoperatively and showed improvement of motor function during follow-up. Conclusions Surgical repair of the dural defect is effected by release and reduction of the spinal cord and insertion of dural substitute over the dural defect. Careful monitoring of the functional integrity of spinal cord long tracts during surgical manipulation of the cord can detect surgically induced impairment. The authors' documentation of acute loss of MEPs that correlated with reversible postoperative motor deficit substantiates the necessity of IOM including continuous monitoring of MEPs for the surgical treatment of TISCH." @default.
• W1566843450 created "2016-06-24" @default.
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• W1566843450 date "2012-02-01" @default.
• W1566843450 modified "2023-10-16" @default.
• W1566843450 title "The value of intraoperative motor evoked potential monitoring during surgical intervention for thoracic idiopathic spinal cord herniation" @default.
• W1566843450 cites W120602802 @default.
• W1566843450 cites W1427905133 @default.
• W1566843450 cites W1489766575 @default.
• W1566843450 cites W1539767458 @default.
• W1566843450 cites W1574056922 @default.
• W1566843450 cites W1605279423 @default.
• W1566843450 cites W1673847784 @default.
• W1566843450 cites W17206051 @default.
• W1566843450 cites W1971192377 @default.
• W1566843450 cites W1972142631 @default.
• W1566843450 cites W1972250619 @default.
• W1566843450 cites W1973292566 @default.
• W1566843450 cites W1974318217 @default.
• W1566843450 cites W1975020816 @default.
• W1566843450 cites W1975646646 @default.
• W1566843450 cites W1980350676 @default.
• W1566843450 cites W1983030351 @default.
• W1566843450 cites W1983299782 @default.
• W1566843450 cites W1983845546 @default.
• W1566843450 cites W1985797414 @default.
• W1566843450 cites W1986915499 @default.
• W1566843450 cites W1989534931 @default.
• W1566843450 cites W1993111123 @default.
• W1566843450 cites W1993144050 @default.
• W1566843450 cites W1993315717 @default.
• W1566843450 cites W1997641489 @default.
• W1566843450 cites W2001121755 @default.
• W1566843450 cites W2001265115 @default.
• W1566843450 cites W2004834363 @default.
• W1566843450 cites W2004962141 @default.
• W1566843450 cites W2005889094 @default.
• W1566843450 cites W2005936390 @default.
• W1566843450 cites W2006997290 @default.
• W1566843450 cites W2008470418 @default.
• W1566843450 cites W2012214199 @default.
• W1566843450 cites W2018454136 @default.
• W1566843450 cites W2019103085 @default.
• W1566843450 cites W2020912199 @default.
• W1566843450 cites W2021297375 @default.
• W1566843450 cites W2021527252 @default.
• W1566843450 cites W2021871585 @default.
• W1566843450 cites W2024037941 @default.
• W1566843450 cites W2025727006 @default.
• W1566843450 cites W2026241978 @default.
• W1566843450 cites W2026279484 @default.
• W1566843450 cites W2027530089 @default.
• W1566843450 cites W2033366475 @default.
• W1566843450 cites W2035630740 @default.
• W1566843450 cites W2038365552 @default.
• W1566843450 cites W2042042283 @default.
• W1566843450 cites W2043728469 @default.
• W1566843450 cites W2045584192 @default.
• W1566843450 cites W2051003085 @default.
• W1566843450 cites W2054063544 @default.
• W1566843450 cites W2055910508 @default.
• W1566843450 cites W2062042848 @default.
• W1566843450 cites W2064750171 @default.
• W1566843450 cites W2066777740 @default.
• W1566843450 cites W2067351082 @default.
• W1566843450 cites W2069302603 @default.
• W1566843450 cites W2073546761 @default.
• W1566843450 cites W2074210484 @default.
• W1566843450 cites W2075218471 @default.
• W1566843450 cites W2079913602 @default.
• W1566843450 cites W2081712342 @default.
• W1566843450 cites W2083796395 @default.
• W1566843450 cites W2086258575 @default.
• W1566843450 cites W2088223872 @default.
• W1566843450 cites W2092991079 @default.
• W1566843450 cites W2093005375 @default.
• W1566843450 cites W2094436157 @default.
• W1566843450 cites W2095572723 @default.
• W1566843450 cites W2104979608 @default.
• W1566843450 cites W2113831080 @default.
• W1566843450 cites W2122345215 @default.
• W1566843450 cites W2134356296 @default.
• W1566843450 cites W2155551722 @default.
• W1566843450 cites W2156712628 @default.
• W1566843450 cites W2168242799 @default.
• W1566843450 cites W2312477181 @default.
• W1566843450 cites W2322288962 @default.
• W1566843450 cites W2428523786 @default.
• W1566843450 cites W2938779336 @default.
• W1566843450 cites W3026189394 @default.
• W1566843450 cites W3139974611 @default.
• W1566843450 cites W4212916539 @default.

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