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- W4285149352 abstract "This chapter describes the feasibility, utilization, and value of intraoperative neurophysiologic monitoring (IONM) in cerebrovascular cases. Practical advice on the integration of these adjunct methods into the modern neurosurgical operating room is based on our own neurophysiologic and neurosurgical experience. Most IONM is done for anterior circulation aneurysms. Somatosensory and motor evoked potentials are the modalities of choice covering vascular territories of the internal, anterior, and middle cerebral arteries. While monitoring both hemispheres with the unoperated side as control, monitoring focus is laid upon those territories at risk and bearing the aneurysm. The specificity of IONM is close to 1, and sensitivity ranges from 0.2 to 1, depending on the categorization of transient changes. The overall likelihood of worsened neurologic outcome after any intraoperative signal deterioration (transient or permanent) is 0.4." @default.
- W4285149352 created "2022-07-14" @default.
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- W4285149352 date "2022-01-01" @default.
- W4285149352 modified "2023-10-16" @default.
- W4285149352 title "Surgery and intraoperative neurophysiologic monitoring for aneurysm clipping" @default.
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- W4285149352 doi "https://doi.org/10.1016/b978-0-12-819826-1.00008-9" @default.
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