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Evozierte Potentiale in der intraoperativen Überwachung

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Evozierte Potentiale in Klinik und Praxis

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Zusammenfassung

Die Reduktion operativ bedingter neurologischer Funktionsstörungen bei Eingriffen am zentralen Nervensystem ist ein geradezu historisches Bemühen der Neurochirurgen. Auch andere Fachrichtungen können im Rahmen ihrer Eingriffe mit einem neurologischen Ausfall konfrontiert werden: Rückenmarkläsionen bei Aortenchirurgie, Hörnervenausfälle bei kleinen Akustikusneurinomen in der Hals-Nasen-Ohren-Heilkunde, Hirninsulte bei der Karotischirurgie oder bei endovaskulären therapeutischen Eingriffen der Neuroradiologen. Mit der Einführung neuer Techniken in der Neurochirurgie (z. B. Mikroskop, Ultraschallsauger, Laser) kam es zu einer Verbesserung der operativen Resultate, gleichzeitig war die Ausdehnung in bisher nicht betretene Indikationsbereiche möglich geworden. Damit war der Bedarf für eine intraoperative Überwachung neurologischer Funktionen verstärkt gegeben. Erste Impulse zur intraoperativen Überwachung neurologischer Funktionen kamen von den Wirbelsäulenchirurgen, die den „Aufwachtest“ einführten. Ursprünglich wurden somatosensorisch evozierte Potentiale für das „intraoperative Neuromonitoring“ sensibler Bahnensysteme bei der Skoliosenchirurgie eingesetzt [18, 19, 25].

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  1. J. Schramm
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Editors and Affiliations

  1. Universität Witten/Herdecke, Klinikum Wuppertal, Heusnerstraße 40, 42283, Wuppertal, Germany

    Johannes Jörg (Direktor der Neurologischen Klinik) (Direktor der Neurologischen Klinik)

  2. Evangelischen Krankenhauses Gelsenkirchen, Munckelstraße 27, 45879, Gelsenkirchen, Germany

    Horst Hielscher (Chefarzt der Neurologischen Klinik) (Chefarzt der Neurologischen Klinik)

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© 1997 Springer-Verlag Berlin Heidelberg

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Schramm, J. (1997). Evozierte Potentiale in der intraoperativen Überwachung. In: Jörg, J., Hielscher, H. (eds) Evozierte Potentiale in Klinik und Praxis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59032-0_8

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  • DOI: https://doi.org/10.1007/978-3-642-59032-0_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-61867-6

  • Online ISBN: 978-3-642-59032-0

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