The Neurodiagnostic Journal最新文献_第4页

The Neurodiagnostic Journal Quiz. 神经诊断杂志测验。

The Neurodiagnostic Journal Pub Date : 2024-12-01 Epub Date: 2024-11-25 DOI: 10.1080/21646821.2024.2416374

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The Neurodiagnostic Journal Quiz. 神经诊断期刊小测验。

The Neurodiagnostic Journal Pub Date : 2024-12-01 Epub Date: 2024-11-25 DOI: 10.1080/21646821.2024.2416374

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THANK YOU TO OUR 2024 REVIEWERS. 感谢我们的2024位评审。

The Neurodiagnostic Journal Pub Date : 2024-12-01 Epub Date: 2024-11-25 DOI: 10.1080/21646821.2024.2416373

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CALENDAR OF EVENTS. 活动日程。

The Neurodiagnostic Journal Pub Date : 2024-12-01 Epub Date: 2024-11-25 DOI: 10.1080/21646821.2024.2415861

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Electrodiagnosis and Ultrasound Imaging for Ulnar Nerve Entrapment at the Elbow: A Review. 肘部尺神经卡压的电诊断和超声成像：综述。

The Neurodiagnostic Journal Pub Date : 2024-12-01 Epub Date: 2024-08-07 DOI: 10.1080/21646821.2024.2379081

Sophia Xirou, Evangelos Anagnostou

{"title":"Electrodiagnosis and Ultrasound Imaging for Ulnar Nerve Entrapment at the Elbow: A Review.","authors":"Sophia Xirou, Evangelos Anagnostou","doi":"10.1080/21646821.2024.2379081","DOIUrl":"10.1080/21646821.2024.2379081","url":null,"abstract":"Entrapment neuropathy of the ulnar nerve at the elbow, the so-called cubital tunnel syndrome, is the second most frequent focal mononeuropathy after carpal tunnel syndrome in adults. Currently, there is a pressing need to identify cost-effective biomarkers and procedures capable of accurately detecting alterations in ulnar nerve structural and functional integrity. Established electrophysiological techniques, such as motor and sensory nerve conduction studies, along with needle electromyography of specific muscles, represent the gold standard for ulnar nerve electrodiagnosis. Concurrently, the introduction of neuromuscular ultrasound and its integration into electromyographic laboratories has significantly impacted structural diagnosis and the precise localization of ulnar nerve pathology over the past two decades. In this review, our objective is to summarize the current knowledge on both classical and advanced diagnostic methods utilized in clinical neurophysiology laboratories. We aim to provide a synthesis of modern electrodiagnostic and neurosonographic techniques, with a particular emphasis on easily attainable, clinically relevant parameters.","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"175-192"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902972","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}

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ASET - The Neurodiagnostic Society 65^th Annual Conference Proceedings Phoenix, AZ | July 25-27, 2024. ASET - 神经诊断学会第 65 届年会论文集，亚利桑那州凤凰城，2024 年 7 月 25-27 日。

The Neurodiagnostic Journal Pub Date : 2024-12-01 Epub Date: 2024-11-25 DOI: 10.1080/21646821.2024.2415856

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Implementation of a Standardized Protocol for Recurrent Laryngeal Nerve Monitoring Reduces False Negative Results During Neck Surgery: A Quality Control Case Study. 实施喉返神经监测标准化方案可减少颈部手术中的假阴性结果：质量控制案例研究

The Neurodiagnostic Journal Pub Date : 2024-12-01 Epub Date: 2024-08-07 DOI: 10.1080/21646821.2024.2382489

Colby G Simmons, Julio Montejano, Lauren Eagleston, Scott Cao, Alexander M Kaizer, Leslie Jameson, Anthony M Oliva, Claudia F Clavijo

{"title":"Implementation of a Standardized Protocol for Recurrent Laryngeal Nerve Monitoring Reduces False Negative Results During Neck Surgery: A Quality Control Case Study.","authors":"Colby G Simmons, Julio Montejano, Lauren Eagleston, Scott Cao, Alexander M Kaizer, Leslie Jameson, Anthony M Oliva, Claudia F Clavijo","doi":"10.1080/21646821.2024.2382489","DOIUrl":"10.1080/21646821.2024.2382489","url":null,"abstract":"Recurrent laryngeal nerve (RLN) injury during neck surgery can cause significant morbidity related to vocal cord (VC) dysfunction. VC electromyography (EMG) is used to aid in the identification of the RLN and can reduce the probability of inadvertent surgical injury. Errors in the placement of specialized EMG endotracheal tubes (ETT) can result in unreliable signals, false-negative responses, or no response when stimulating the RLN. We describe a novel educational protocol developed to optimize uniformity in the placement of ETTs to improve the reliability of RLN monitoring. An intraoperative neuromonitoring database was queried for all neck surgeries requiring RLN monitoring. Data points extracted for all cases requiring EMG monitoring for neck procedures. Free running and stimulated EMG were monitored and continuously recorded by a certified technologist. Alerts were compared between 2013-14 and 2015-18 using a two-sample test of proportions. Significant reductions in alerts were demonstrated after protocol implementation (7.5% pre-implementation to 2.1% post). Alerts were compared between 2013-14 (overall alert rate of 1.8%, pre-implementation period) and 2015-18 (overall alert rate of 2.8%, post-implementation period). Protocolization for placement of EMG-ETT improved accuracy in EMG monitoring. In the follow-up cohort of 1,080 patients, use of this protocol continued to reduce the rate of alerts related to ETT malposition, confirming the sustainability of this intervention through routine education. The risk of nerve injury is reduced when the rate of alerts is minimized. Scheduled or continuous protocol education of anesthesia personnel should continue to ensure compliance with protocol.","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"193-202"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902974","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}

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When the Crown has Thorns - Epileptic Spike-Wave Discharges over the Vertex. 当皇冠上长出荆棘时--顶点上的癫痫尖波放电。

The Neurodiagnostic Journal Pub Date : 2024-12-01 Epub Date: 2024-08-12 DOI: 10.1080/21646821.2024.2382490

Elisa Corona, Kapil Gururangan

{"title":"When the Crown has Thorns - Epileptic Spike-Wave Discharges over the Vertex.","authors":"Elisa Corona, Kapil Gururangan","doi":"10.1080/21646821.2024.2382490","DOIUrl":"10.1080/21646821.2024.2382490","url":null,"abstract":"Epileptiform abnormalities that arise over the midline can sometimes be confused with normal sleep transients, such as vertex sharp waves, because of their location and their activation during sleep. However, epileptiform transients can be distinguished from sleep architecture by their waveform and their occurrence during wakefulness. Here, we report a 24-year-old man with drug-resistant epilepsy whose seizures began with tonic posturing of the left leg before progressing to bilateral tonic-clonic activity. During presurgical scalp video-EEG monitoring, his interictal background showed focal spike-wave discharges maximal over the vertex (phase reversal at Cz), with a more-well-defined field over the right parasagittal region (C4/F4), that were present during both sleep and awake states. The discharges met the IFCN criteria for focal interictal epileptiform discharges (spiky morphology, duration shorter than background activity, asymmetric waveform, after-going slow wave, and physiologic distribution) and appeared to be distinct from the patient's vertex sharp waves. Prior to electroclinical seizures, these discharges would increase in prevalence and appear as repetitive spike-wave discharges. When distinguishing epileptiform from nonepileptiform transients, it is critical to consider both their morphology, especially the degree of background disruption and presence of an after-going slow wave, and their variability with state changes.","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"218-225"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141971905","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

A Prospective Look at the Prevalence of Setup Electrode-Swap Errors Across Over 450 Intraoperative Neuromonitoring Cases. 对 450 多例术中神经监测病例中电极置换设置错误发生率的前瞻性研究。

The Neurodiagnostic Journal Pub Date : 2024-09-01 Epub Date: 2024-06-28 DOI: 10.1080/21646821.2024.2366563

Allen Mandir, Kiara Ebinger, Lauren DeBruyn, Krystal Kenney

{"title":"A Prospective Look at the Prevalence of Setup Electrode-Swap Errors Across Over 450 Intraoperative Neuromonitoring Cases.","authors":"Allen Mandir, Kiara Ebinger, Lauren DeBruyn, Krystal Kenney","doi":"10.1080/21646821.2024.2366563","DOIUrl":"10.1080/21646821.2024.2366563","url":null,"abstract":"Intraoperative neurophysiological monitoring (IONM) is shown to be useful in surgeries when the nervous system is at risk. Its success in part relies upon proper setup of often dozens of electrodes correctly placed and secured upon patients and inserted in specific stimulating and recording receptacles. Given the complicated setups and the demanding operating room environment, errors in setup are bound to occur. These have led to false negatives associated with new patient morbidities including, at times, paralysis. No studies quantify the prevalence of these types of setup errors. Approximately 800,000 operations annually utilize intraoperative neuromonitoring in the US alone, so even a small percentage of errors suggests clinical significance. In addition, these types of errors hinder the overall effectiveness of IONM and may result in lower reported sensitivities and lower cost-effectiveness of this important service. We sought to discover through a prospective study and verification through chart review the prevalence of \"electrode-swap\" errors (when recording and/or stimulating electrodes are incorrectly placed on the patient or in the IONM equipment during setup) across all procedures monitored. We found recording and/or stimulating electrode set up errors in 24 of 454 cases (5.3%). These data and examples of how errors were discovered intraoperatively are reported. We also offer techniques to help reduce this error rate. This study demonstrates a significant potential avoidable error in IONM diagnostic utility, patient outcome, and sensitivity/specificity of alert criteria. The value of identifying and correcting these errors is consequential, multifaceted, and far-reaching.","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"96-111"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470855","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

Lack of Continuous Video EEG Surveillance Results in Delayed Event Reporting. 缺乏连续视频脑电图监控导致事件报告延迟。

The Neurodiagnostic Journal Pub Date : 2024-09-01 Epub Date: 2024-07-16 DOI: 10.1080/21646821.2024.2375477

Olga Selioutski, Peggy Auinger, Michel Berg, Ramona Cranmer, Gretchen L Birbeck, Susan T Herman

{"title":"Lack of Continuous Video EEG Surveillance Results in Delayed Event Reporting.","authors":"Olga Selioutski, Peggy Auinger, Michel Berg, Ramona Cranmer, Gretchen L Birbeck, Susan T Herman","doi":"10.1080/21646821.2024.2375477","DOIUrl":"10.1080/21646821.2024.2375477","url":null,"abstract":"Although real-time event detection during video EEG recording is required to ensure patients' safety, it is limited by the technologists' availability. We sought to explore the efficiency of real-time event detection by the EEG technologists in a single tertiary academic center. We retrospectively reviewed events from continuous inpatient video EEGs (cEEGs) and epilepsy monitoring unit (EMU) recordings in January 2017, when real-time surveillance was only available during the night shift, and June 2017, when a dedicated neurodiagnostic EEG technologist was available for real-time monitoring during all shifts. The events were categorized into those detected immediately (eyes-on), later in the same shift (delayed) or identified on the subsequent shift (missed). Chi-square and Fisher's exact tests were used for statistical comparisons. In January 2017, there were 25 patients (117 days of monitoring) in the EMU and 54 inpatients (146 days of monitoring) on cEEG with 92 total events, (39% seizures). In June 2017, there were 30 patients (133 days of monitoring) in the EMU and 47 additional inpatients (80 days of monitoring) on cEEG with 110 total events, (39% seizures). The number of events identified in real time was low and did not significantly differ among shifts regardless of the availability of the monitoring technologist. Most events were identified at the time of subsequent EEG scanning by the EEG technologist. Partial staffing for continuous video EEG surveillance is insufficient to identify events in real time. EEG technologists are able to identify events during regular EEG scanning.","PeriodicalId":22816,"journal":{"name":"The Neurodiagnostic Journal","volume":" ","pages":"122-129"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627799","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