Linked Life Data

12684561

Source:http://linkedlifedata.com/resource/pubmed/id/12684561

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2003-4-9
pubmed:abstractText
Intraoperative electrophysiologic monitoring can diminish the risk of neurologic injury by enabling the detection of injury at a time when it can be reversed or minimized. Although it is clear that in patients with cervical spine disease monitoring during surgery reduces the incidence of neurologic injury, almost no data are available regarding its utility in patients undergoing suboccipital decompression for Chiari I malformation. Patients with Chiari I malformation have caudal displacement of the cerebellar tonsils below the skull base, thereby creating a tight foramen magnum and cervical canal. Although the majority of pediatric neurosurgeons perform a bony decompression with duraplasty for symptomatic patients, there is much controversy regarding the amount of bony decompression required for clinical improvement and whether a duraplasty is essential. The authors therefore conducted a prospective, observational study using intraoperative brainstem auditory evoked potentials (BAEPs) and somatosensory evoked potentials in pediatric patients undergoing suboccipital decompressions for Chiari I malformations to determine whether there were consistent changes in intraoperative BAEPs that could help the operating surgeon decide how extensive a decompression was needed in these patients, and whether changes in BAEPs or somatosensory evoked potentials occurred during operative positioning that could be modified to reduce the risk of neurologic injury.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0736-0258
pubmed:author
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
65-72
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
2003
pubmed:articleTitle
Chiari I malformation: potential role for intraoperative electrophysiologic monitoring.
pubmed:affiliation
Departments of Neurosurgery, The Neurological Institute, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA.
pubmed:publicationType
Journal Article, Clinical Trial