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A newly designed nerve monitor for microneurosurgery: Bipolar constant current nerve stimulator and movement detector with a pressure sensor

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Summary

The authors describe a newly designed nerve monitor which is useful for numerous microneurosurgical procedures. Standard bipolar forceps are used to apply constant current stimulation. Muscle contraction evoked by the stimulation is detected by a small discshaped pressure sensor taped to the overlying skin. The responses are monitored both quantitatively on a liquid crystal display and qualitatively through an on-off auditory signal. Surgery can proceed without interruption. This apparatus can safely and reliably monitor the facial nerve, nerves involved in eye movements, lower cranial nerves and spinal nerves. This portable system weighs only 1.8 kg and can easily be used by a neurosurgeon.

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References

  1. Cawthorne T, Wilson T (1963) Indications for intratemporal facial nerve surgery. Arch Otolaryngol 78: 429–434

    PubMed  Google Scholar 

  2. Delgado TE, Buchheit WA, Rosenholtz HR, Chrissian S (1979) Intraoperative monitoring of facial muscle evoked responses obtained by intracranial stimulation of the facial nerve: a more accurate technique for facial nerve dissection. Neurosurgery 4: 418–421

    PubMed  Google Scholar 

  3. Møller AR, Jannetta PJ (1984) Preservation of facial function during removal of acoustic neurinoma. Use of monopolar constant-voltage stimulation and EMG. J Neurosurg 61: 757–760

    PubMed  Google Scholar 

  4. Sugita K, Kobayashi S (1982) Technical and instrumental improvements in the surgical treatment of acoustic neurinomas. J Neurosurg 57: 747–752

    PubMed  Google Scholar 

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Shibuya, M., Mutsuga, N., Suzuki, Y. et al. A newly designed nerve monitor for microneurosurgery: Bipolar constant current nerve stimulator and movement detector with a pressure sensor. Acta neurochir 125, 173–176 (1993). https://doi.org/10.1007/BF01401847

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  • DOI: https://doi.org/10.1007/BF01401847

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