THE ROLE OF INTRAOPERATIVE NEUROMONITORING IN SPINAL CORD TUMORS SURGERY

Document Type : Preliminary preprint short reports of original research

Authors

Department of Neurosurgery, Faculty of Medicine, Alexandria University

Abstract

Spinal tumors, either in their primaey or secondary origin, account for 10% of all central nervous system neoplasms. Among them, about 5% are intramedullary spinal cord tumors and 95% are extramedullary spinal cord tumors. The most common presenting symptom in patients with a spinal cord tumor is back pain or neuropathic pain .
The diagnosis of spinal cord tumors is made by MRI , without treatment, spinal cord tumors can lead to severe neurologic deterioration with serious motor deficits, including paraplegia or even quadriplegia, the most important part of the treatment is surgical resection. Radical resection has been associated with increased long term survival. However, surgery carries a significant risk of intraoperative damage to functional tissues, which leads to neurologic complications,ranging from 3.7% to 7.5%.
Neuromonitoring, also known as intraoperative neuromonitoring (IONM), is a vital tool in the operating room, it allows real time check of the functional integrity of both the spinal cord and the nerve roots and is frequently used to improve the safety of spine surgery by providing real-time assessment of neural structures at risk.The types of IONM modalities being used in spinal cord tumors surgery motor-evoked potentials (MEP), somatosensory evoked potential (SSEP) and electromyography (EMG). and running EMG monitoring.

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ALEXMED ePosters
Volume 6, Issue 4
September 2024
Pages 65-66

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