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Intraoperative Neurophysiological Monitoring for brain surgery
Intraoperative Neurophysiological Monitoring Brain
Intraoperative Neurophysiological Monitoring Brain
Farrukh Javeed
This presentation looks at intraoperative monitoring of auditory evoked potential, somato sensory evoked potential and motor evoked potential, procedure, pitfalls and utility.
Intraoperative Evoked Potential Monitoring
Intraoperative Evoked Potential Monitoring
Pramod Krishnan
summary on intraop monitoring in neurosurgery
Intra operative neurophysiological monitoring
Intra operative neurophysiological monitoring
Kode Sashanka
Information about how to interpret upper extremity somatosensory evoked potentials during intra operative neuro physiological monitoring
Upper Extremity Somatosensory Evoked Potential (Upper SSEP)
Upper Extremity Somatosensory Evoked Potential (Upper SSEP)
Anurag Tewari MD
VARIOUS METHODS USE IN NEURO PHYSIOLOGICAL MONITORING
Intra operative monitoring facial nerve
Intra operative monitoring facial nerve
Md Roohia
Techniques of Monitoring Brainstem and Cranial Nerve Function during CPA Tumor Surgeries are Brainstem auditory evoked potentials Facial nerve EMG monitoring Trigeminal nerve EMG monitoring Median nerve somatosensory evoked potentials Posterior tibial nerve somatosensory evoked potentials Motor evoked potentials
IONM for Cerebellopontine Angle Tumor Surgery
IONM for Cerebellopontine Angle Tumor Surgery
Anurag Tewari MD
This presentation introduces medical professionals and allied healthcare associates to the fundamental rationale, objectives, techniques, and utilizations of intraoperative neurophysiologic monitoring (IONM).
The Role of Intraoperative Neuromonitoring (IONM)
The Role of Intraoperative Neuromonitoring (IONM)
David Barnkow, AuD, DABNM, CNIM, CCC/A
IONM cases in spine surgery which shows the importance of multi modality monitoring.
Multimodality IONM in spine surgery
Multimodality IONM in spine surgery
Syed Ahmed Uddin (BSc, REEGT, CNIM)
Empfohlen
Intraoperative Neurophysiological Monitoring for brain surgery
Intraoperative Neurophysiological Monitoring Brain
Intraoperative Neurophysiological Monitoring Brain
Farrukh Javeed
This presentation looks at intraoperative monitoring of auditory evoked potential, somato sensory evoked potential and motor evoked potential, procedure, pitfalls and utility.
Intraoperative Evoked Potential Monitoring
Intraoperative Evoked Potential Monitoring
Pramod Krishnan
summary on intraop monitoring in neurosurgery
Intra operative neurophysiological monitoring
Intra operative neurophysiological monitoring
Kode Sashanka
Information about how to interpret upper extremity somatosensory evoked potentials during intra operative neuro physiological monitoring
Upper Extremity Somatosensory Evoked Potential (Upper SSEP)
Upper Extremity Somatosensory Evoked Potential (Upper SSEP)
Anurag Tewari MD
VARIOUS METHODS USE IN NEURO PHYSIOLOGICAL MONITORING
Intra operative monitoring facial nerve
Intra operative monitoring facial nerve
Md Roohia
Techniques of Monitoring Brainstem and Cranial Nerve Function during CPA Tumor Surgeries are Brainstem auditory evoked potentials Facial nerve EMG monitoring Trigeminal nerve EMG monitoring Median nerve somatosensory evoked potentials Posterior tibial nerve somatosensory evoked potentials Motor evoked potentials
IONM for Cerebellopontine Angle Tumor Surgery
IONM for Cerebellopontine Angle Tumor Surgery
Anurag Tewari MD
This presentation introduces medical professionals and allied healthcare associates to the fundamental rationale, objectives, techniques, and utilizations of intraoperative neurophysiologic monitoring (IONM).
The Role of Intraoperative Neuromonitoring (IONM)
The Role of Intraoperative Neuromonitoring (IONM)
David Barnkow, AuD, DABNM, CNIM, CCC/A
IONM cases in spine surgery which shows the importance of multi modality monitoring.
Multimodality IONM in spine surgery
Multimodality IONM in spine surgery
Syed Ahmed Uddin (BSc, REEGT, CNIM)
Sharath neuro monitoring
Sharath neuro monitoring
Sharath Chandra Bheemshetty
monitoring in neuro anaesthesia
Neuromonitoring
Neuromonitoring
anaesthesiaESICMCH
Lower Extremity SSEP: Obligate peaks and recording montages following stimulation of the posterior tibial nerve. EP = Erb's. Obligate peaks and recording montages following stimulation of the posterior tibial nerve. T12 = 12th thoracic vertebra, CS = Cervical Spine, Fpz = center of frontal pole, CP = midpoint between ...
Lower Extremity Somatosensory Evoked Potentials (lower SSEP)
Lower Extremity Somatosensory Evoked Potentials (lower SSEP)
Anurag Tewari MD
INTRAOPERATIVE EEG OR ECOG
ELECTROCORTICOGRAPHY(ECOG)
ELECTROCORTICOGRAPHY(ECOG)
Dr. ASHUTOSH RATH
Electrocorticography
Electrocorticography
Electrocorticography
Syed Ahmed Uddin (BSc, REEGT, CNIM)
Anesthesiologists play a central role in optimizing IONM. Intraoperative neuromonitoring (IONM) offers a near-real-time assessment of the functional integrity of the neuronal pathways during surgery. Evoked Potential signals may thus be regarded as surrogate markers of neuronal function and can be thought of as a repeated but limited neurological examination under general anesthesia. Optimization of anesthetic management contributes to the successful integration of IONM into perioperative care
Anesthesiology And Intraoperative Neurophysiological Monitoring
Anesthesiology And Intraoperative Neurophysiological Monitoring
Anurag Tewari MD
Intraoperative Neurophysiological Monitoring for Spinal Cord Surgery
IONM for Spinal Cord Surgery
IONM for Spinal Cord Surgery
Anurag Tewari MD
Intra operative nerve monitoring in ent
Intra operative nerve monitoring in ent
sand0001
How does anesthesia and anesthetic drugs alter neurophysiological signals of SSEP, TcMEP, EMG EEG in Intraoperative Neurophysiological Monitoring?
Anesthesia and IONM
Anesthesia and IONM
Anurag Tewari MD
Motor evoked potentials (MEPs) are electrical signals recorded from neural tissue or muscle following activation of central motor pathways. They complement other clinical neurophysiology techniques, such as somatosensory evoked potentials (SEPs), in the assessment of the nervous system, especially during intraoperative neurophysiologic monitoring (IONM).
Transcranial Motor Evoked Potentials Monitoring per aACNS guidelines
Transcranial Motor Evoked Potentials Monitoring per aACNS guidelines
Anurag Tewari MD
Presentation at PNU14
Critical care eeg monitoring
Critical care eeg monitoring
Teik Beng Khoo
Somatosensory evoked potential
Somatosensory evoked potential
Somatosensory evoked potential
dahmed hamed
seminar on procedure, use of bera in neurology
Brainstem auditory evoked potentials (baep)
Brainstem auditory evoked potentials (baep)
NeurologyKota
ALL ABOUT BAEP, (brainstem auditory evoked potentials)
BAEP, BERA, BEP, Brainstem auditory evoked potential By Murtaza Syed
BAEP, BERA, BEP, Brainstem auditory evoked potential By Murtaza Syed
Murtaza Syed
Intraoperative neurophysiological monitoring (IONM) is the use of electrophysiological methods such as electroencephalography (EEG), electromyography (EMG), and evoked potentials to monitor the functional integrity of certain neural structures during surgery. The purpose this lecture is to Introduce you to the neurophysiological signals in intra operative neurophysiological signals. The AIM of IONM is to reduce the risk to the patient of iatrogenic damage to the nervous system, and/or to provide functional guidance to the surgeon and anesthesiologist.
Neurophysiological Signals in IONM part I
Neurophysiological Signals in IONM part I
Anurag Tewari MD
Basic information about IONM considerations for Lumbosacral Surgery.
IONM for Lumbosacral Surgery
IONM for Lumbosacral Surgery
Anurag Tewari MD
somatosensory evoked potential pathways and their recording during intraoperatively.
Ssep pathways
Ssep pathways
Shehzad Hussain Raja
For intraoperative monitoring, it is most important to know how the various nuclei of the ascending auditory pathways are connected and how these nuclei together with the fiber tracts that connect them produce electrical activity when the ear is stimulated with transient sounds.
Brainstem Auditory Evoked Potentials Part II
Brainstem Auditory Evoked Potentials Part II
Anurag Tewari MD
SSEP SEP VEP ABR MS
EDX: Evoked potentilas
EDX: Evoked potentilas
Shahram Sadeqi
1 basics of eeg and fundamentals of its measurement 2 Timeline of EEG invention 3 Cerebral generators of EEG potentials 4 Electrical signal propagation 5 EEG Recording 6 EEG Electrode Placement 7 Filters 8 Amplifier, Rules of Polarity on EEG, Polarity Convention - Example 9 Montage 10 EEG Artifacts 11 Advantages & Applications of EEG 12 Clinical applications
1 basics of eeg and fundamentals of its measurement
1 basics of eeg and fundamentals of its measurement
Swathy Ravi
Acs0206 Parotidectomy
Acs0206 Parotidectomy
medbookonline
Intraoperative monitoring
intraoperative monitoring
intraoperative monitoring
anaesthesiology-mgmcri
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Was ist angesagt?
Sharath neuro monitoring
Sharath neuro monitoring
Sharath Chandra Bheemshetty
monitoring in neuro anaesthesia
Neuromonitoring
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anaesthesiaESICMCH
Lower Extremity SSEP: Obligate peaks and recording montages following stimulation of the posterior tibial nerve. EP = Erb's. Obligate peaks and recording montages following stimulation of the posterior tibial nerve. T12 = 12th thoracic vertebra, CS = Cervical Spine, Fpz = center of frontal pole, CP = midpoint between ...
Lower Extremity Somatosensory Evoked Potentials (lower SSEP)
Lower Extremity Somatosensory Evoked Potentials (lower SSEP)
Anurag Tewari MD
INTRAOPERATIVE EEG OR ECOG
ELECTROCORTICOGRAPHY(ECOG)
ELECTROCORTICOGRAPHY(ECOG)
Dr. ASHUTOSH RATH
Electrocorticography
Electrocorticography
Electrocorticography
Syed Ahmed Uddin (BSc, REEGT, CNIM)
Anesthesiologists play a central role in optimizing IONM. Intraoperative neuromonitoring (IONM) offers a near-real-time assessment of the functional integrity of the neuronal pathways during surgery. Evoked Potential signals may thus be regarded as surrogate markers of neuronal function and can be thought of as a repeated but limited neurological examination under general anesthesia. Optimization of anesthetic management contributes to the successful integration of IONM into perioperative care
Anesthesiology And Intraoperative Neurophysiological Monitoring
Anesthesiology And Intraoperative Neurophysiological Monitoring
Anurag Tewari MD
Intraoperative Neurophysiological Monitoring for Spinal Cord Surgery
IONM for Spinal Cord Surgery
IONM for Spinal Cord Surgery
Anurag Tewari MD
Intra operative nerve monitoring in ent
Intra operative nerve monitoring in ent
sand0001
How does anesthesia and anesthetic drugs alter neurophysiological signals of SSEP, TcMEP, EMG EEG in Intraoperative Neurophysiological Monitoring?
Anesthesia and IONM
Anesthesia and IONM
Anurag Tewari MD
Motor evoked potentials (MEPs) are electrical signals recorded from neural tissue or muscle following activation of central motor pathways. They complement other clinical neurophysiology techniques, such as somatosensory evoked potentials (SEPs), in the assessment of the nervous system, especially during intraoperative neurophysiologic monitoring (IONM).
Transcranial Motor Evoked Potentials Monitoring per aACNS guidelines
Transcranial Motor Evoked Potentials Monitoring per aACNS guidelines
Anurag Tewari MD
Presentation at PNU14
Critical care eeg monitoring
Critical care eeg monitoring
Teik Beng Khoo
Somatosensory evoked potential
Somatosensory evoked potential
Somatosensory evoked potential
dahmed hamed
seminar on procedure, use of bera in neurology
Brainstem auditory evoked potentials (baep)
Brainstem auditory evoked potentials (baep)
NeurologyKota
ALL ABOUT BAEP, (brainstem auditory evoked potentials)
BAEP, BERA, BEP, Brainstem auditory evoked potential By Murtaza Syed
BAEP, BERA, BEP, Brainstem auditory evoked potential By Murtaza Syed
Murtaza Syed
Intraoperative neurophysiological monitoring (IONM) is the use of electrophysiological methods such as electroencephalography (EEG), electromyography (EMG), and evoked potentials to monitor the functional integrity of certain neural structures during surgery. The purpose this lecture is to Introduce you to the neurophysiological signals in intra operative neurophysiological signals. The AIM of IONM is to reduce the risk to the patient of iatrogenic damage to the nervous system, and/or to provide functional guidance to the surgeon and anesthesiologist.
Neurophysiological Signals in IONM part I
Neurophysiological Signals in IONM part I
Anurag Tewari MD
Basic information about IONM considerations for Lumbosacral Surgery.
IONM for Lumbosacral Surgery
IONM for Lumbosacral Surgery
Anurag Tewari MD
somatosensory evoked potential pathways and their recording during intraoperatively.
Ssep pathways
Ssep pathways
Shehzad Hussain Raja
For intraoperative monitoring, it is most important to know how the various nuclei of the ascending auditory pathways are connected and how these nuclei together with the fiber tracts that connect them produce electrical activity when the ear is stimulated with transient sounds.
Brainstem Auditory Evoked Potentials Part II
Brainstem Auditory Evoked Potentials Part II
Anurag Tewari MD
SSEP SEP VEP ABR MS
EDX: Evoked potentilas
EDX: Evoked potentilas
Shahram Sadeqi
1 basics of eeg and fundamentals of its measurement 2 Timeline of EEG invention 3 Cerebral generators of EEG potentials 4 Electrical signal propagation 5 EEG Recording 6 EEG Electrode Placement 7 Filters 8 Amplifier, Rules of Polarity on EEG, Polarity Convention - Example 9 Montage 10 EEG Artifacts 11 Advantages & Applications of EEG 12 Clinical applications
1 basics of eeg and fundamentals of its measurement
1 basics of eeg and fundamentals of its measurement
Swathy Ravi
Was ist angesagt?
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Sharath neuro monitoring
Sharath neuro monitoring
Neuromonitoring
Neuromonitoring
Lower Extremity Somatosensory Evoked Potentials (lower SSEP)
Lower Extremity Somatosensory Evoked Potentials (lower SSEP)
ELECTROCORTICOGRAPHY(ECOG)
ELECTROCORTICOGRAPHY(ECOG)
Electrocorticography
Electrocorticography
Anesthesiology And Intraoperative Neurophysiological Monitoring
Anesthesiology And Intraoperative Neurophysiological Monitoring
IONM for Spinal Cord Surgery
IONM for Spinal Cord Surgery
Intra operative nerve monitoring in ent
Intra operative nerve monitoring in ent
Anesthesia and IONM
Anesthesia and IONM
Transcranial Motor Evoked Potentials Monitoring per aACNS guidelines
Transcranial Motor Evoked Potentials Monitoring per aACNS guidelines
Critical care eeg monitoring
Critical care eeg monitoring
Somatosensory evoked potential
Somatosensory evoked potential
Brainstem auditory evoked potentials (baep)
Brainstem auditory evoked potentials (baep)
BAEP, BERA, BEP, Brainstem auditory evoked potential By Murtaza Syed
BAEP, BERA, BEP, Brainstem auditory evoked potential By Murtaza Syed
Neurophysiological Signals in IONM part I
Neurophysiological Signals in IONM part I
IONM for Lumbosacral Surgery
IONM for Lumbosacral Surgery
Ssep pathways
Ssep pathways
Brainstem Auditory Evoked Potentials Part II
Brainstem Auditory Evoked Potentials Part II
EDX: Evoked potentilas
EDX: Evoked potentilas
1 basics of eeg and fundamentals of its measurement
1 basics of eeg and fundamentals of its measurement
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Neuromonitoring in anesthesia
Neuromonitoring in anesthesia
Antara Banerji
This presentation is about a real time BCI system that provides the ability to monitor the mental state of a person using a wearble sensor device. The system gets the brain signals from the wearable device and sends the data through the mobile computing platform to the cloud, where the immense amount of input data can be processed. These slides provide the combination of latest technological trends and a proper setup of different technologies.
A real time Brain Computer Interface system based on mobile cloud computing u...
A real time Brain Computer Interface system based on mobile cloud computing u...
Vasant Diwane
The medical, rehabilitation and bio-mimetic technology demands human actuated devices which can support in the daily life activities such as functional assistance or functional substitution of human organs. These devices can be used in the form of prosthetic, skeletal and artificial muscles devices. However, we still have some difficulties in the practical use of these devices. The major challenges to overcome are the acquisition of the user’s intention from his or her bionic signals and to provide with an appropriate control signal for the device. Also, we need to consider the mechanical design issues such as lightweight and small size with flexible behavior etc. For the bionic signals, the electromyography (EMG) signal can be used to control these devices, which reflect the muscles motion, and can be acquired from the body surface. We are familiar with the fact that Ionic polymer metal composite (IPMC) has tremendous potential as an artificial muscle. In place of the supply voltage from external source for actuating an IPMC, EMG signal can be used where EMG electrodes show a reliable approach to extract voltage signal from body. Using this voltage signal via EMG sensor, IPMC can illustrate the bio-mimetic behavior through the movement of human muscles. Therefore, an IPMC is used as an artificial muscle finger for the bio-mimetic/micro robot.
EMG Driven IPMC Based Artificial Muscle Finger
EMG Driven IPMC Based Artificial Muscle Finger
Abida Zama
XNN001 Introductory epidemiological concepts - Study design
XNN001 Introductory epidemiological concepts - Study design
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Cerebral tumors 1
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PARTIAL SUPERFICIAL PAROTIDECTOMY IN PAROTID BENIGN TUMOR. IPRAS
PARTIAL SUPERFICIAL PAROTIDECTOMY IN PAROTID BENIGN TUMOR. IPRAS
Ricardo Yanez
CJCJ's Executive Director Daniel Macallair, is a practitioner-in-residence at San Francisco State University (SFSU)'s Department of Criminal Justice Studies. These slides are from his Community Corrections and Sentencing course materials.
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6. sex offenders in the community
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CJCJ's Executive Director Daniel Macallair, is a practitioner-in-residence at San Francisco State University (SFSU)'s Department of Criminal Justice Studies. These slides are from his Community Corrections and Sentencing course materials.
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6. mentally ill offenders in the community
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SUMMARY: - Neurophysiologic monitoring not universally adopted but in many centers has become routine monitor for some surgical procedures - Ideal neurophysiologic monitoring in the neurosurgical procedure should be: non-invasive (v.s invasive), high sensitivity & specificity, cost effective, easy to use, simple instrumentation, and real time or continous monitoring.
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neurophysiologic monitoring final
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Surgical anatomy of parotid. Parotidectomy with its complications.
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This presentation describes the common conditions, anatomy and the ideal ways to do and perform nerve conduction studies in lower limbs. It is nicely depicted with self explanatory pictures.
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This presentation attempts to give an overlook of - What is BSN ? - Applications of WBSN -Challenges and Solution -Monitoring Pre-Schoolers using WBSN
Wireless Body Sensor Networks
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Imaging in pediatric brain tumors
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Dr.Suhas Basavaiah
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Sreeraj S R
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Nerve Muscle Physiology
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PARTIAL SUPERFICIAL PAROTIDECTOMY IN PAROTID BENIGN TUMOR. IPRAS
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6. sex offenders in the community
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Vestibular Schwannoma Most common CPA (Cerebellopontine angle) tumor changed from prolongation of life to nerve preservation explained in brief with all pre- operative work up.
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EDIC is pleased to announce a webinar with Dr. R. Bruce Donoff, the Dean at Harvard Dental School. Dr. Donoff’s presentation will cover the risk factors for inferior alveolar and lingual nerve injury after third molar extraction, as well as the proper documentation and follow up of nerve injuries. Dr. Donoff will also discuss the potential for recovery from paresthesia after surgical intervention. The webinar will be held on May 10, 2011 at 7:00 PM.
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Eastern Dentists Insurance Company
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Clinical examination of the spine/back covering: NEUROLOGICAL EXAMINATION - -MOTOR -SENSORY -REFLEXES -AUTONOMOUS -BOWEL AND BLADDER (Upper and Lower Limbs) Covering separately: The Vertebral level The pathological process : Extradural or Intradural The extent of deficit: The Neurological level The type of deficit: UMN or LMN UPPER & LOWER LIMBS
Spine examination-Part 2
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Archit Jain
Basic information about TcMEP and D-waves.
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Overview on Motor evoked potential
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florensiapratiwi
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Anesthetic considerations for spinal surgery
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Murtaza Syed
The powerpoint was presented a the Drexel College of Medicine in Sept 2015
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Median nerve injury
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Acoustic neuroma
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Brachial plexus block new
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VEMP (PPT) Dr.dr.HR Yusa Herwanto, MKed(ORL-HNS), Sp.THTKL(K)
Anesthetic considerations for spinal surgery
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Anatomy of Ear and BERA with its technical aspects. by Murtaza. March 2015.
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BERA- Dr. Richa Maurya
Brachial plexus block by PNS and ultrasound guided block
Brachial plexus block by PNS and ultrasound guided block
Median nerve injury
Median nerve injury
Cranial Nerve Monitoring
1.
Cranial Nerve Monitoring
Brian Owens Minnesota Epilepsy Group
2.
3.
4.
5.
6.
7.
8.
9.
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11.
EMG Examples Zouridakis,
Papanicolaou, 2001 (a) Baseline EMG. Note the low amplitude background activity on ch2. (b) High amplitude spikes are present on ch3 indicating irritation of the nerve corresponding to that channel.
12.
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14.
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17.
Masseter Muscle
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19.
CN VII (Facial
Nerve)
20.
Orbicularis Oris, Oculi
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27.
28.
29.
30.
31.
Hinweis der Redaktion
CN I, II & VII are sensory only. All others have motor components.
MUAP – Free Run EMG Muscle fibers range from 10 in the eye muscles to 3000 in larger muscles like the gastronemius.
CMAP – Triggered EMG
Typical peaks: N1, N2, N3; P1, P2, P3
Rarefaction causes sudden excitation (ear drum moves away from ear).
![Cranial Nerves ,[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)