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Intraoperatives Neuromonitoring bei Kindern

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Pädiatrische Neurochirurgie

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Zusammenfassung

Das intraoperative Neuromonitoring (IONM) hat zum Ziel, während operativer Eingriffe mit neurophysiologischen Methoden das Nervensystem zu überwachen. Dazu zählen Elektroenzephalographie (EEG), Elektromyogramm (EMG), evozierte Potenziale (EP) und Methoden der direkten Nerven- und Hirnparenchymstimulation. Alle Methoden, die beim Erwachsenen angewandt werden, können auch im Kindesalter angewandt werden. Den größten Einfluss auf die intraoperative Anwendung hat vor allem bei jüngeren Kindern (unter 6 Jahren) das noch unreife Nervensystem. Dies bedingt eine langsamere und weniger synchrone Reizweiterleitung, sodass in Bezug zur Körpergröße relativ längere Latenzen und disperse Amplituden entstehen. Höhere EEG-Amplituden und eine langsamere Reizweiterleitung resultieren in einem schlechteren Signal-Rausch-Verhältnis, sodass mehr Mittelungen zur Herausbildung eines EP nötig sind.

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Authors and Affiliations

  1. Neurochirurgische Klinik und Poliklinik, Klinikum der Universität München, Campus Großhadern, Marchioninistraße 15, München, 81377, Deutschland

    A. Szelényi

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  1. A. Szelényi
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Correspondence to A. Szelényi .

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Editors and Affiliations

  1. Sektionsleiterin Pädiatrische Neurochirurgie, Neurochirurgische Klinik Universitätsklinikum, Heidelberg, Germany

    Heidi Bächli

  2. Universitätskinderklinik beider Basel (UKBB), Binningen, Switzerland

    Jürg Lütschg

  3. Chefärztin der Abteilung Kinderneurochirurgie Asklepios Kinderklinik, Sankt Augustin, Germany

    Martina Messing-Jünger

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Szelényi, A. (2018). Intraoperatives Neuromonitoring bei Kindern. In: Bächli, H., Lütschg, J., Messing-Jünger, M. (eds) Pädiatrische Neurochirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48700-6_7

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  • DOI: https://doi.org/10.1007/978-3-662-48700-6_7

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48699-3

  • Online ISBN: 978-3-662-48700-6

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