The Neurodiagnostic Journal最新文献

The Evolution of Intraoperative Neuromonitoring in Ghana and West Africa. 加纳和西非术中神经监测的发展。

The Neurodiagnostic Journal Pub Date : 2025-04-03 DOI: 10.1080/21646821.2025.2484052

Bright Worlanyo Aklamanu, Clement Okyere Sefa, Ebenezer Kodji Tetteh

{"title":"The Evolution of Intraoperative Neuromonitoring in Ghana and West Africa.","authors":"Bright Worlanyo Aklamanu, Clement Okyere Sefa, Ebenezer Kodji Tetteh","doi":"10.1080/21646821.2025.2484052","DOIUrl":"https://doi.org/10.1080/21646821.2025.2484052","url":null,"abstract":"Intraoperative neurophysiological monitoring (IONM) has emerged as a pivotal technology in neurosurgery, significantly enhancing patient safety and surgical outcomes by providing real-time monitoring of neurological functions. Despite its recognized benefits, the adoption and development of IONM in regions like West Africa have been relatively slow, with Ghana pioneering its introduction and utilization. This report explores the evolution of IONM in Ghana, initiated by FOCOS Hospital, and examines its expansion across the region. The report highlights key developments, including the first use of IONM during complex spine surgeries such as scoliosis, kyphosis and kyphoscoliosis deformity correction and brain tumor surgeries. Challenges, such as the scarcity of trained professionals, limited access to essential equipment, and the high cost of implementation are discussed. The future outlook of IONM in Ghana and potentially other West African and by extension, other low- and middle-income countries looks promising with planned expansions in training and certification programs to meet the growing demand. This report underscores the transformative potential of IONM in improving surgical care and patient outcomes in Ghana, West Africa, and other low- and middle-income countries advocating for increased regional support and investment in this crucial healthcare technology.","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Focal Epileptic Encephalopathy with Spike-Wave Activation in Sleep: A Case Report of Hemispheric Involvement with Change in Handedness. 局灶性癫痫性脑病伴睡眠中尖波激活：伴惯用手改变的半球受累病例报告。

The Neurodiagnostic Journal Pub Date : 2025-04-01 DOI: 10.1080/21646821.2025.2484028

Sabrina L Faust, Kassidy S Mattson, Marcia Felker, Brittany Jordan, Derryl J Miller

{"title":"Focal Epileptic Encephalopathy with Spike-Wave Activation in Sleep: A Case Report of Hemispheric Involvement with Change in Handedness.","authors":"Sabrina L Faust, Kassidy S Mattson, Marcia Felker, Brittany Jordan, Derryl J Miller","doi":"10.1080/21646821.2025.2484028","DOIUrl":"https://doi.org/10.1080/21646821.2025.2484028","url":null,"abstract":"Developmental and/or epileptic encephalopathy with spike-wave activation in sleep (D/EE-SWAS), formerly electrical status epilepticus of sleep (ESES), is a rare childhood-onset epilepsy characterized by continuous spike waves seen in sleep with or without associated seizures. D/EE-SWAS affects children ages 2-12 years and shows characteristic pattern of continuous spike-and-wave discharges during non-rapid eye movement (NREM) sleep (CSWS) on electroencephalography (EEG) with a high density of spikes. Generalized D/EE-SWAS is found in patients with acquired symptoms of progressive neurocognitive and/or behavioral regression. D/EE-SWAS with focal discharges has been reported with focal deficits. We present a 3.5-year-old boy with focal D/EE-SWAS who changed dominant handedness. He was innately right-hand dominant with obvious preference for scribbling and feeding himself with his right hand per his mother, though developed focal seizures and D/EE-SWAS of the left hemisphere and became left-hand dominant for all activities. Following medical treatment, he again used his right hand with ambidextrous handwriting. We report the first case of change in handedness with focal D/EE-SWAS. We review the available diagnostics and treatments of Landau-Kleffner syndrome (LKS) and D/EE-SWAS.","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ASET Position Statement. ASET 立场声明。

The Neurodiagnostic Journal Pub Date : 2025-03-07 DOI: 10.1080/21646821.2025.2461980

引用次数: 0

Brain Computer Interfaces: An Introduction for Clinical Neurodiagnostic Technologists. 脑计算机接口：临床神经诊断技术人员入门》。

The Neurodiagnostic Journal Pub Date : 2025-03-01 Epub Date: 2024-10-16 DOI: 10.1080/21646821.2024.2408501

Julie Trott, Chris Slaymaker, Greg Niznik, Tabitha Althoff, Brett Netherton

引用次数: 0

Early Neurophysiological Monitoring of Train of Four Assists in the Detection of Pseudocholinesterase Deficiency. 对四人火车的早期神经电生理监测有助于检测假胆碱酯酶缺乏症。

The Neurodiagnostic Journal Pub Date : 2025-03-01 Epub Date: 2024-09-27 DOI: 10.1080/21646821.2024.2401641

Victoria Celis, Shashank Gandhi, Kathryn Overzet

{"title":"Early Neurophysiological Monitoring of Train of Four Assists in the Detection of Pseudocholinesterase Deficiency.","authors":"Victoria Celis, Shashank Gandhi, Kathryn Overzet","doi":"10.1080/21646821.2024.2401641","DOIUrl":"10.1080/21646821.2024.2401641","url":null,"abstract":"A craniotomy with cortical and subcortical mapping was planned for a 64-year-old male with a large right frontotemporal brain mass. Total intravenous anesthesia was performed, and 200 milligrams of succinylcholine was administered at induction. A train of four prior to head pinning (52 minutes after succinylcholine administration) revealed zero of four twitches in the left hand and foot. The patient did not regain spontaneous breathing despite discontinuation of infusions and the surgeon canceled the case at 108 minutes from induction. The patient was safely extubated at 270 minutes. Pseudocholinesterase deficiency was suspected, and labs revealed that the patient was outside of the normal range for pseudocholinesterase enzyme at 698 units/L with a dibucaine inhibition number of 40. The patient's procedure was rescheduled 2 days later, and neuromuscular blockade was avoided. The procedure went ahead as planned with successful mapping and monitoring. This case highlights the effect of pseudocholinesterase deficiency on neuromonitoring and the importance of running train of four early on to detect neuromuscular junction issues in high-risk procedures. In this case, the surgeon was able to avoid pinning and positioning the patient and rescheduled the procedure so that motor mapping, direct cortical motor evoked potentials, and transcranial motor evoked potentials could be successfully performed.","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142354339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When the Crown has Thorns - Epileptic Spike-Wave Discharges over the Vertex: Erratum. 当王冠有刺时——癫痫般的尖波在顶点上放电：勘误。

The Neurodiagnostic Journal Pub Date : 2025-03-01 Epub Date: 2025-03-13 DOI: 10.1080/21646821.2025.2456412

引用次数: 0

Technical Tips: Recommendations for Reducing Emotional Distress Through a Trauma Informed Approach to EEG Lead Placements in the Pediatric Population. 技术提示：通过创伤知情方法减少儿童人群脑电图导联放置的情绪困扰的建议。

The Neurodiagnostic Journal Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1080/21646821.2025.2455760

Briana Choyeske

引用次数: 0

ABRET Neurodiagnostic Credentialing and Accreditation. ABRET神经诊断认证和认证。

The Neurodiagnostic Journal Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1080/21646821.2025.2455912

引用次数: 0

Editorial. 社论。

The Neurodiagnostic Journal Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1080/21646821.2025.2457547

Mark Stecker

引用次数: 0

Comparison of EMG Waveforms versus Degree of Spread in Selective Dorsal Rhizotomy. 选择性背根切断术中肌电图波形与扩散程度的比较。

The Neurodiagnostic Journal Pub Date : 2025-03-01 Epub Date: 2025-02-18 DOI: 10.1080/21646821.2025.2457293

Megan V Ryan, Khoa Nguyen, Willy Boucharel, Caley Dunn, Sarah Graber, Joyce Oleszek, William B Harris, Emily Cooper, Corbett Wilkinson

{"title":"Comparison of EMG Waveforms versus Degree of Spread in Selective Dorsal Rhizotomy.","authors":"Megan V Ryan, Khoa Nguyen, Willy Boucharel, Caley Dunn, Sarah Graber, Joyce Oleszek, William B Harris, Emily Cooper, Corbett Wilkinson","doi":"10.1080/21646821.2025.2457293","DOIUrl":"10.1080/21646821.2025.2457293","url":null,"abstract":"Selective dorsal rhizotomy (SDR) is a treatment for lower-extremity spasticity in disorders such as cerebral palsy (CP). \"Selective\" refers to sectioning nerve rootlets with the most abnormal responses on electromyography (EMG) upon intraoperative stimulation. EMG abnormalities can be classified by waveform appearance or by degree of spread throughout lower extremity muscles. We examine the relationship between different EMG waveforms and grades of spread. Intraoperative SDR EMG records from November 2009 through December 2021 were analyzed for waveform types and degrees of spread. Irregular, incremental, multiphasic, sustained, and clonic waveform patterns were considered more abnormal. Decremental, squared decremental, and squared waveforms were less abnormal. Degrees of spread were graded 0-4+, 4+ signifying the most abnormal spread. Distribution of grades of spread was compared between waveform patterns using pairwise Cochran-Armitage tests with Holm-Bonferroni correction. We hypothesized that more abnormal EMG waveform patterns would correlate with higher grades of spread. Sixty-three patients were included, with an average age of 8 years. Most had cerebral palsy (86%, n = 54). The remainder had brain malformations (8%, n = 5) and other etiologies (6%, n = 4). Higher grades of spread significantly increased the likelihood of multiphasic, sustained, or clonic patterns, compared to decremental, irregular, and squared patterns (p < .05). Squared waveforms decreased with higher grades of spread relative to other patterns (p < .05). Different EMG waveform patterns are associated with varying grades of spread in SDR, suggesting that evaluating both waveform pattern and degree of spread together can be useful in guiding rootlet sectioning.","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"13-31"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0