Title Intraoperative Neurophysiology, 2/e
Subtitle A Comprehensive Guide to Monitoring and Mapping
Author Mirela V. Simon
ISBN 9781620701171
List price USD 180.00
Price outside India Available on Request
Original price
Binding Hardbound
No of pages 674
Book size 216 x 279 mm
Publishing year 2019
Original publisher Demos Medical Publishing
Published in India by .
Exclusive distributors .
Sales territory Bangladesh, India, Pakistan, Sri Lanka
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Completely revised and updated second edition of the leading reference on intraoperative neurophysiology, this book covers IOM from the most basic theoretical and technical concepts to the most sophisticated procedures, placing them within the specific surgical context. Written by a multidisciplinary team of experts from Massachusetts General Hospital/Harvard Medical School, Intraoperative Neurophysiology provides a step-by-step approach to monitoring and mapping for a wide variety of complex surgical procedures by progressively building on prior learned material. Covering everything from set-up to troubleshooting and medical management, this book presents an integrated blueprint for choosing the right tests and customizing IOM procedures to the demands of each surgical challenge.

Comprehensive in scope and filled with over 650 helpful illustrations, tables, and neurophysiologic recordings to aid interpretative understanding, this expanded edition includes practical examples of monitoring and mapping and details the importance of an individualized approach to IOM. A highly visual book, it continues to serve as a primary resource for physicians and technologists involved in monitoring to help reduce the operative risk of neurological damage in surgical patients.

New to the Second Edition:

  • Extensively broadened coverage of critical topics including mapping procedures brain mapping, and primary neurophysiologic testing in the operating room
  • Six entirely new chapters on pediatric neuromonitoring, cerebral aneurysms, electrocorticography, deep brain stimulation, intradural extramedullary tumors, and cardiac procedures
  • Enhanced decompressive and deformity correction surgery chapters with added description of surgical steps and mechanisms of injury
  • Over 650 high-quality images to enrich and instruct readers
  • 100 multiple-choice questions and answers with rationales referenced back to the chapters for targeted review
  • Includes digital access to the eBook





Share Intraoperative Neurophysiology: A Comprehensive Guide to Monitoring and Mapping, Second Edition

Part I. The Basics

Chapter 1. Neurophysiologic Tests in the Operating Room (Jennifer Dineen and Mirela V. Simon) • Introduction • Electroencephalogram • Short-Latency Somatosensory Evoked Potentials (SSEPs) • Brainstem Auditory Evoked Potentials • Motor Evoked Potentials (MEPs) • Free-Run and Triggered EMG (fEMG and tEMG) • Nerve-to-Nerve Recordings (NAPs) • Combinations of Tests • Safety Issues

Chapter 2. Anesthesia and Intraoperative Neurophysiology (Jennifer Dineen, Mirela V. Simon, and Ala Nozari) • Introduction • General Effects of Anesthetics on Neurophysiologic Tests • Anesthetic Agents and Their Specific Effects on Neurophysiologic Tests • Assessing the Depth of Anesthesia • The Concept of Anesthetic Fade • Physiological Parameters and Their Impact on Neurophysiologic Tests • Conclusions

Chapter 3. The Trouble of Troubleshooting (Aaron G. Tripp) • Introduction • Troubleshooting Electrodes • System Settings, Software, and Hardware • 60 Hz and Related Noise • Conclusions

Part II. Cerebrum

Chapter 4. EEG Monitoring During Carotid Endarterectomy (Kamylla Thiago De Almeida, Mirela V. Simon, and Keith H. Chiappa) • Introduction • Surgical Techniques for CEA • Principles for Monitoring of Carotid Endarterectomies • Methods • Interpretation

Chapter 5. Neurophysiologic Monitoring During Cardiac and Thoracic Aortic Surgery (Mirela V. Simon and Arminder S. Jassar) • Introduction • Neurologic Complications • Cardiopulmonary Bypass (CPB) • Cerebral Neuroprotection • Neurophysiologic Monitoring • Conclusions

Chapter 6. Intraoperative Electrocorticography in Epilepsy Surgery (Mirela V. Simon, Emad N. Eskandar, and Andrew J. Cole) • Introduction • Historical Perspective • The Controversial Role of ECoG in Epilepsy Surgery • Indications • Methodology • Interpretation • Anesthesia Considerations • Conclusions

Chapter 7. Electrocorticography in Nonepilepsy Surgery (Mirela V. Simon) • Introduction • Indications • Methodology • Conclusions

Chapter 8. An Introduction to Functional Mapping (Mirela V. Simon) • Maximal Resection • Maximal Safe Resection: Functional Mapping Methods

Chapter 8A. Mapping and Monitoring of Motor and Primary Somatosensory Functions (Mirela V. Simon) • Functional Anatomy • Central Sulcus Localization • Motor Mapping and Monitoring via Electrical Stimulation • Primary Somatosensory Function Mapping and Monitoring • Conclusions

Chapter 8B. Mapping and Monitoring of Language and Parietal Functions (Jennifer Dineen, Brian V. Nahed, and Mirela V. Simon) • Introduction • Anatomy of Language and Parietal Functions • Planning • Methodology • Performing the Procedure and Interpreting the Results • Conclusions

Chapter 8C. Intraoperative Neurophysiologic Monitoring and Mapping of the Visual Pathways (Sharika Rajan and Mirela V. Simon) • Introduction • Anatomy of Visual Pathways • Monitoring • Mapping the Visual Pathways • Anesthesia Considerations • Conclusions

Chapter 9. Surgical Clipping of Cerebral Aneurysms: General Surgical Approach and the Role of Neuromonitoring (Arjun R. Khanna, Christopher J. Stapleton, Matthew Koch, Mirela V. Simon, and Aman B. Patel) • Introduction • Operative Approach, Critical Steps, and the Role of IOM • Assessing the Adequacy of Blood Flow and of Aneurysmal Clipping • Conclusions

Chapter 10. Deep Brain Stimulation (Todd Herrington, Aarathi Minisandram, and Emad N. Eskandar) • Introduction • Methodology: General Approach • Subthalamic Nucleus • Globus Pallidus Internus • Ventral Intermediate Nucleus of the Thalamus • Conclusions

Part III. Brainstem

Chapter 11. Neurophysiologic Mapping and Monitoring of Cranial Nerves and Brainstem (Ioannis Karakis and Mirela V. Simon) • Introduction • Anatomy and Pathophysiology • Techniques • Anesthesia Considerations • Safety Considerations • Applications • Limitations • Future Directions • Conclusions

Part IV. Spinal Cord and Nerve Roots

Chapter 12. Intramedullary Spinal Cord Tumor Resection (Mirela V. Simon and Lawrence Borges) • Introduction • The Role of Intraoperative Neurophysiology • A Historical Perspective • Intraoperative Neurophysiologic Monitoring and Mapping: A Step-by-Step Approach • Conclusions

Chapter 13. Intradural Extramedullary Spinal Cord Tumor Resection (Kamylla Thiago De Almeida, John Shin, and Mirela V. Simon) • Introduction • IDEM Tumors • Intraoperative Neurophysiologic Monitoring of IDEM Tumors • Postoperative Complications and Outcome • Conclusions

Chapter 14. Decompressive Surgery of the Spine (Mirela V. Simon and Lawrence Borges) • Introduction • Intraoperative Neurophysiologic Monitoring: A Step-by-Step Approach • Conclusions

Chapter 15. Spine Deformity Surgery (Mirela V. Simon and John Shin) • Introduction • Surgical Indications • The Nuts and Bolts of Deformity Surgery • The Role of Intraoperative Neurophysiology • Intraoperative Neurophysiologic Monitoring: A Step-by-Step Approach • Conclusions

Chapter 16. Intraoperative Neurophysiologic Monitoring in Thoracoabdominal Aneurysm Repair
(Thomas F. X. O’Donnell, Mirela V. Simon, and Mark F. Conrad) • Introduction • The Vascularization of the Spinal Cord • Operative Techniques • Delayed Neurological Events and Surgical Outcomes • Conclusions

Part V. Peripheral Nerve

Chapter 17. Intraoperative Neurophysiology in Peripheral Nerve Surgery (Reiner B. See, Jennifer Dineen, Jonathan M. Winograd, and Mirela V. Simon) • Introduction • The Main Roles of Intraoperative Neurophysiology • Types of Nerve Injury Based on the Extent of Structural Damage and Mechanisms of Occurrence • Surgical Management of Posttraumatic Nerve Injury • Nerve Tumor Surgery • Minimally Invasive Surgery • Examples of Common Clinical Scenarios • Anesthesia Considerations • Conclusions

Part VI. Special Topics

Chapter 18. Intraoperative Neurophysiologic Monitoring and Mapping in Pediatric Population
(José Manuel Matamala, William Butler, and Mirela V. Simon) • Introduction • Development and Maturation of the Nervous System Pathways • Intraoperative Neurophysiologic Monitoring and Mapping Techniques • IONM and Anesthetic Considerations in Pediatric Population • Conclusions

Chapter 19. Preoperative Functional Mapping for Epilepsy Surgery (Aline Herlopian and Douglas Maus) • Introduction • Historical Perspective • Methodology • Procedure and Results • Functional Mapping • Pediatric Functional Mapping • Safety Concerns • Conclusions

Chapter 20. Questions and Answers (Mirela V. Simon) • Questions • Answers


About the Editor:

Mirela V. Simon, MD, MSc, Associate Professor of Neurology, Director, Intraoperative Neurophysiology Unit, Program Director, IONM Fellowship, Department of Neurology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts.

Target Audience:

Useful for students, academicians and practitioners of intraoperative neurophysiology. A highly visual book, it continues to serve as a primary resource for physicians and technologists involved in monitoring to help reduce the operative risk of neurological damage in surgical patients.




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