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Intraoperative Neurophysiological Monitoring in Cerebello Pontine Angle Tumor
Korean J Clin Lab Sci 2014,46:38-45  
Published on March 31, 2014
Copyright © 2014 Korean Society for Clinical Laboratory Science.

Sang-Ku Park

Department of Neurology, Samsung Medical Center, Seoul 135-710, Korea
Correspondence to: Sang-Ku Park
Department of Neurology, Samsung Medical Center, 50 Ilwon-dong, Gangnam-gu, Seoul 135-710, Korea
E-mail: sk39.park@samsung.com
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Intraoperative Neurophysiological Monitoring (INM) inspection has a very important role. While preserving the patient's neurological function be sure to safe surgery, neurological examination should thank. Cerebello pontine angle tumor surgery, especially in the nervous system is more important to the meaning of INM. In cochlear nerve, facial nerve, trigeminal nerve, which are intricate brain surgery, doctors are only human eye and brain to the brain that it is virtually impossible to distinguish the nervous system. They receives a lot of help from INM. In this paper, we examined six kinds broadly. First, the methods of spontaneous EMG and Free-running EMG, which can instantly detect a damage inflicted on a nerve during surgery. Second, methods of triggered EMG and direct nerve electrical stimulation, which directly stimulate a nerve using electricity to distinguish between nerves and brain tumors. Third, the method of knowing a more accurate neurologic status by informing neurological surgeons about Free-running EMG wave forms that are segmetalized into four. Fourth, three ways of knowing when a patient will be awaken from intraoperative anesthesia, which happens due to a weak anesthetic. Fifth, a method of understanding the structures of a brain tumor and a facial nerve as five dividend segments. Sixth, comparisons between cases normal facial nerve recovery and occurrence of a facial nerve paralysis during the postoperative course.
Keywords : Intraoperative neurophysiological monitoring, Spontaneous EMG, Free - running EMG, Triggered EMG, Direct nerve electrical stimulation
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