caa a22 4500 445357940 CHVBK 20180317142906.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10072-011-0688-z doi (NATIONALLICENCE)springer-10.1007/s10072-011-0688-z Intraoperative neurophysiological monitoring during surgery for Chiari malformations [Elektronische Daten] [Francesco Sala, Giovanna Squintani, Vincenzo Tramontano, Angela Coppola, Massimo Gerosa] Reports on the use of intraoperative neurophysiological monitoring (INM) techniques during surgery for Chiari malformations are anecdotal. There are almost no data on significant intraoperative worsening in either somatosensory-evoked potentials (SEPs) or brainstem auditory-evoked potentials (BAEPs) during surgery that would have alerted the surgeon to modify the surgical strategy. Yet, a few reports suggest that INM may play a role in preventing spinal cord injury during positioning of the patient. Overall, the use of INM in this type of surgery can be considered only as an option. More speculatively, INM adds information to the ongoing discussion on the most appropriate surgical technique for posterior fossa decompression in Chiari malformations. This debate applies especially to children where a more conservative approach is advisable to reduce the complications. Studies on the conduction time of BAEPs provide some evidence that, from a merely neurophysiological perspective, most of the improvement occurs after bony decompression and removal of the dural band at the level of the atlanto-occipital membrane, not after duraplasty. Springer-Verlag, 2011 Chiari malformation nationallicence Neurophysiologic monitoring nationallicence Brainstem auditory evoked potentials nationallicence Sala Francesco Istituto di Neurochirurgia e UOC di Neurologia, Azienda Ospedaliero Universitaria Integrata, Verona, Italy aut Squintani Giovanna Istituto di Neurochirurgia e UOC di Neurologia, Azienda Ospedaliero Universitaria Integrata, Verona, Italy aut Tramontano Vincenzo Istituto di Neurochirurgia e UOC di Neurologia, Azienda Ospedaliero Universitaria Integrata, Verona, Italy aut Coppola Angela Istituto di Neurochirurgia e UOC di Neurologia, Azienda Ospedaliero Universitaria Integrata, Verona, Italy aut Gerosa Massimo Istituto di Neurochirurgia e UOC di Neurologia, Azienda Ospedaliero Universitaria Integrata, Verona, Italy aut Neurological Sciences Springer Milan 32(2011-12-01), 317-319 1590-1874 32<317 2011 32 10072 https://doi.org/10.1007/s10072-011-0688-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0688-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sala Francesco Istituto di Neurochirurgia e UOC di Neurologia, Azienda Ospedaliero Universitaria Integrata, Verona, Italy aut NATIONALLICENCE 700 1- Squintani Giovanna Istituto di Neurochirurgia e UOC di Neurologia, Azienda Ospedaliero Universitaria Integrata, Verona, Italy aut NATIONALLICENCE 700 1- Tramontano Vincenzo Istituto di Neurochirurgia e UOC di Neurologia, Azienda Ospedaliero Universitaria Integrata, Verona, Italy aut NATIONALLICENCE 700 1- Coppola Angela Istituto di Neurochirurgia e UOC di Neurologia, Azienda Ospedaliero Universitaria Integrata, Verona, Italy aut NATIONALLICENCE 700 1- Gerosa Massimo Istituto di Neurochirurgia e UOC di Neurologia, Azienda Ospedaliero Universitaria Integrata, Verona, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32(2011-12-01), 317-319 1590-1874 32<317 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer