Intraoperative neurophysiological monitoring of the sacral nervous system

@article{Voduek2020IntraoperativeNM,
  title={Intraoperative neurophysiological monitoring of the sacral nervous system},
  author={David B. Vodu{\vs}ek and Vedran Deletis},
  journal={Neurophysiology in Neurosurgery},
  year={2020}
}

Usefulness of external anal sphincter EMG recording for intraoperative neuromonitoring of the sacral roots—a prospective study in dorsal rhizotomy

TLDR
EMG recording of the EAS can be recommended for current intraoperative neuromonitoring and provides—indirectly by extrapolation—information on the sacral motor pathways of the external urethral sphincter (EUS), as the later has the same somatic innervation via the pudendal nerve and related S2, S3, and S4 roots.

Utility of direct stimulation of roots in spinal surgery.

Prevention of postoperative neurological deficits is a major concern of spinal surgeons and has led to the introduction and current development of intraoperative neurophysiological monitoring. We

Evaluation of Xgene (R) , a Eurycoma longifolia Extract Enriched Penis CareCream, as a Novel Vehicle in Creating Penis Consciousness and Confidence in Keeping and Maintaining Erection for Penetrative Sex

TLDR
A cream containing a Malaysian herb, Eurycoma longifolia, known to increase cellular cGMP and cAMP, was put to a study to evaluate its efficacy strengthening and maintaining penis tumescence.

Intraoperative Monitoring in Spine Surgery

  • J. Moore
  • Medicine
    Handbook of Spine Technology
  • 2020

Intraoperative Neurophysiology in Neurosurgery

As a rule in any scientific discipline, especially in clinical neuroscience, a reliable and simple methodology is the ultimate goal. The same rule can be implemented in the field of intraoperative

References

SHOWING 1-10 OF 28 REFERENCES

Intraoperative motor and sensory monitoring of the cauda equina.

A set of standard techniques to monitor the motor and sensory function of the cauda equina is proposed for surgery in the lumbosacral spinal canal for the release of a tethered cord or the removal of

Clinical neurophysiology of pelvic floor disorders.

Evoked potential testing.

  • D. Vodušek
  • Medicine
    The Urologic clinics of North America
  • 1996

Use of anal sphincter electromyography during operations on the conus medullaris and sacral nerve roots.

TLDR
This technique was employed intraoperatively in monitoring operations on the conus medullaris and sacral nerve roots in 10 patients with spinal dysraphism and permitted spinal operations in these 10 patients without changes in neurological or urological function.

Intraoperative mapping of sacral nervous system (S2 – 4)

TLDR
Electrophysiological mapping of the sacral nervous system was used during operations on 80 patients with conus and cauda equina lesions and was useful in sparing viable nerve roots during surgery, and identification of ‘functional’ filum terminale.

The motor nerve supply of the external urethral sphincter muscles: An electrophysiologic study

TLDR
The results of this study indicate that the pudendal nerve plays an important role in the innervation of the intrinsic external urethral muscle, i.e., somatic, and does not exclude the possibility that the autonomic nervous system also innervates this muscle.

Intraoperative recording of the bulbocavernosus reflex.

TLDR
It is demonstrated that it is feasible, under certain anesthetic regimes, to intraoperatively monitor the BCR in both children and adults who did not have significantly affected function in sacral nervous structures.

Intraoperative Recording of the Bulbocavernosus Reflex

  • S. SkinnerD. Vodušek
  • Medicine
    Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society
  • 2014
TLDR
This review documents a 94% baseline BCR acquisition rate among 100 consecutive cases in one institution and illustrates the power of the BCR to predict patient outcome or, much more importantly, reverse incipient patient injury in real time.

Intraoperative neurophysiology in tethered cord surgery: techniques and results

TLDR
Mapping techniques allow identifying and sparing functional neural tissue and vice versa to cut nonfunctional structures that may contribute to cord tethering, though these may require a higher degree of neuromonitoring expertise.

Pudendal afferents mapping in posterior sacral rhizotomies.

TLDR
Pudendal afferent mapping identified the sacral rootlets involved with genital and anal sensation and the preservation of such rootlets in sacral rhizotomies is considered to be important for minimizing postoperative bladder and bowel dysfunction.