Abstract
During surgery, the nervous system is at risk if surgeon could not localize nerve’s location. In case of tumor blocked, the surgeon can completely not visualize the nerve due to the tumor. Hence, nerve localization is very important during to operation. Generally, the neurophysiologic intra-operative monitoring (NIOM) has alarming feature, when the surgeon irritated the nerve, they could pre-localize the nerve. However, this alarming is quite sensitive since it sometime alarms even when the surgeon hints other area expected the nerve. This would makes the surgeon qualitative evaluates location of the nerve. This study proposed the new modality of nerve localization. The nature of compound muscle action potential (CMAP) was used in this study. Given a frequency-based electrical stimulation to a targeted area, the CMAP would response if and only if the stimulating electrode was placed directly to the nerve. The results from preliminary study in animal revealed that applying the stimulation at 30Hz and 0.3Volt with 1.5 millimeters width of a bipolar electrode gave highest CMAP detection accuracy (97.5%).
Access provided by Autonomous University of Puebla. Download to read the full chapter text
Chapter PDF
Similar content being viewed by others
References
Kombos, T., Suess, O., Kern, B.C., Funk, T., Pietilä, T., Brock, M.: Can continuous intraoperative facial electromyography predict facial nerve function following cerebellopontine angle surgery? Neurol Med. Chir (Tokyo) 40, 501–507 (2000)
Romstöck, J., Strauss, C., Fahlbusch, R.: Continuous electro-myography monitoring of motor cranial nerves during cerebellopontine angle surgery. J. Neurosurg. 93, 586–593 (2000)
Prass, R.L., Lüders, H.: Acoustic (loudspeaker) facial electromyographic monitoring: Part 1. Evoked electromyographic activity during acoustic neuroma resection. Neurosurgery 19, 392–400 (1986)
Amano, M., Kohno, M., Nagata, O., Tahiguchi, M., Sora, S., Sato, H.: Intraoperative continuous monitoring of evoked facial nerve electromyograms in acoustic neuroma surgery. Acta Neurochir. 153, 1059–1069 (2011)
Silverstein, H., Willcox, T.O., Rosenberg, S.I., Seidman, M.D.: Prediction of facial nerve function following acoustic neurona resection using intraoperative facial nerve stimulation. Laryngoscope 104, 539–544 (1994)
Meredith, A., Redrobe, S.: The BSAVA Manual of Exotic Pets, 4th edn. John Wiley & Sons (2002)
Chen, Z.J., Gillies, G.T., Broaddus, W.C., Prabhu, S.S., Fillmore, H., Mitchell, R.M., Corwin, F.D., Fatouros, P.: A realistic brain tissue phantom for intraparenchymal infusion studies. J. Neurosurg. 101(2), 314–322 (2004)
Marieb, E.N., Hoehn, K.: Human Anatomy & Physiology, 8th edn. Pearson (2010)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Puanhvuan, D., Chumnanvej, S., Khemmachotikun, S., Wongsawat, Y. (2013). Peripheral Nerve Localization by Frequency-Based Electrical Stimulation. In: Lee, M., Hirose, A., Hou, ZG., Kil, R.M. (eds) Neural Information Processing. ICONIP 2013. Lecture Notes in Computer Science, vol 8226. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-42054-2_44
Download citation
DOI: https://doi.org/10.1007/978-3-642-42054-2_44
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-42053-5
Online ISBN: 978-3-642-42054-2
eBook Packages: Computer ScienceComputer Science (R0)