{"title":"Potential Neurological Risk during a Titanium Rib Procedure and Appropriate Intraoperative Neurophysiologic Monitoring Modalities","authors":"Megan T Roper","doi":"10.1080/1086508X.2010.11079774","DOIUrl":"https://doi.org/10.1080/1086508X.2010.11079774","url":null,"abstract":"ABSTRACT. The titanium rib procedure is a safe and effective way of surgically treating pediatric patients with thoracic insufficiency syndrome and scoliosis. As with any invasive surgical procedure, it is not without risks. This article explains the potential risks to neurological structures while outlining the surgical approach and the neurological anatomy in the vicinity of the implanted instrumentation. The types of potential nerve injury involve ischemia, trauma, compression, and stretch. Furthermore, a suitable compilation of modalities of intraoperative neurophysiologic monitoring is recommended to detect and avoid long-term nerve or spinal cord insult. Monitoring modalities that would be appropriate for this procedure are discussed.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"27 1","pages":"199 - 210"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83087151","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}
{"title":"Neurocysticercosis: Fireflies in the Central Nervous System","authors":"V. Wiwanitkit","doi":"10.1080/1086508X.2010.11079777","DOIUrl":"https://doi.org/10.1080/1086508X.2010.11079777","url":null,"abstract":"I read the recent publication on neurocysticercosis (Davidson 2010) with great interest. I would like share some ideas on this specific issue. Indeed, the problem of diagnosis of neurocysticercosis exists. The use of neuroimaging technique for diagnosis of neurocysticercosis is widely discussed. The use of entire body imaging is mentioned for usefulness but there are also several limitations (Wiwanitkit 2010). Based on the neuroimaging system, there are many neurological infections that might present mimicking pictures to neurocysticercosis and this is an important issue in diagnostic medicine in tropical setting (Wiwanitkit 2010, Gulati et al. 2010). An important point for differentiation of neurocysticercosis from other similar neurological infections is the history of the patient (ingestion of uncooked pork, poor toileting, and eating behavior). The use of neuroimaging technique for diagnosis of neurocysticercosis has to be accompanied with good history taking.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"30 1","pages":"245 - 245"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83353564","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}
{"title":"Brain computer interface (BCI) tools developed in a clinical environment.","authors":"Nicholas R Anderson, Elise M DeVries","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Brain computer interfaces are devices that collect signals from a subject's cortical surface and interpret these signals to control a computer Recently much development has been done on these devices with the help of epilepsy patients and the clinical staff who treat these patients. The types of data collected from epilepsy patients, particularly the invasive data give a unique opportunity to researchers in this area. The clinical staff has a unique opportunity to use the treatment of one patient population to help another</p>","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"50 3","pages":"187-98"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29365527","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}
{"title":"Historical archives.","authors":"Lucy R Sullivan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"50 3","pages":"169-70"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29365525","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}
Matthew Stevenson, Kelly Baylor, Brett L Netherton, Mark M Stecker
{"title":"Electrical stimulation and electrode properties. Part 1: clinical electrodes.","authors":"Matthew Stevenson, Kelly Baylor, Brett L Netherton, Mark M Stecker","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"50 3","pages":"171-86"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29365526","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}
Jie Zhang, G. Talley, Adam L. Kornegay, J. Edwards
{"title":"Electrical Status Epilepticus during Sleep: A Case Report and Review of the Literature","authors":"Jie Zhang, G. Talley, Adam L. Kornegay, J. Edwards","doi":"10.1080/1086508X.2010.11079775","DOIUrl":"https://doi.org/10.1080/1086508X.2010.11079775","url":null,"abstract":"ABSTRACT. We present the case of a 5-year-old male who other than being six weeks premature at birth had no significant early medical problems, and had normal physical and cognitive development until preschool. It was then that his teacher noticed the child was having learning difficulties, staring spells, and difficulty expressing himself He had a single generalized tonic-clonic seizure (GTCS) in September of 2008. A routine EEG revealed very frequent epileptiform discharges. He was started on levetiracetam and four months later his EEG showed continuous spike wave discharges during sleep. The spike wave discharges occurred in long runs, lasting a minute or more, without clear ictal evolution. The spike wave discharges were seen in a generalized distribution, maximal bifronto-temporally with some asymmetry (right greater than left). When the patient was subsequently awakened, the EEG dramatically improved and the spike wave discharges almost completely resolved. The spike and wave discharges recurred as the patient became drowsy again. Authors have described this as electro graphic status during sleep (ESES) which is a typical childhood process of generalization of paroxysmal activity and can be seen with specific childhood epileptic encephalopathies. Treatment with levetiracetam was increased and his EEG and language subsequently returned to normal.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"8 1","pages":"211 - 218"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78910712","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}
{"title":"Electrical Stimulation and Electrode Properties. Part 1: Clinical Electrodes","authors":"M. Stevenson, K. Baylor, B. Netherton, M. Stecker","doi":"10.1080/1086508X.2010.11079772","DOIUrl":"https://doi.org/10.1080/1086508X.2010.11079772","url":null,"abstract":"ABSTRACT. Few studies have addressed the changes that can occur in clinical electrodes during high amplitude electrical stimulation. In this study, the response of some common clinical electrodes to various types of electrical stimulation was investigated. This included studies of the effect of pulse and direct currents, design and material of electrode, and the effects of voltage and current levels. There were significant changes to the weight and shape of a stainless steel anode during stimulation that were more dramatic as the duration of the stimulus pulse increased and were most severe with direct current (DC) stimuli. Pulse stimulus currents below 5 mA did not result in any stimulation related changes and pulse durations less than 1 msec did not produce any changes in the electrode. Not all effects of stimulation were on the electrode itself. Stimulation did also have a significant effect on the electrode lead-wire connection as well, depending on the details of the manufacture of the electrode.","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"44 1","pages":"171 - 186"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74799598","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}
Jie Zhang, Gregory Talley, Adam L Kornegay, Jonathan C Edwards
{"title":"Electrical status epilepticus during sleep: a case report and review of the literature.","authors":"Jie Zhang, Gregory Talley, Adam L Kornegay, Jonathan C Edwards","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present the case of a 5-year-old male who other than being six weeks premature at birth had no significant early medical problems, and had normal physical and cognitive development until preschool. It was then that his teacher noticed the child was having learning difficulties, staring spells, and difficulty expressing himself He had a single generalized tonic-clonic seizure (GTCS) in September of 2008. A routine EEG revealed very frequent epileptiform discharges. He was started on levetiracetam and four months later his EEG showed continuous spike wave discharges during sleep. The spike wave discharges occurred in long runs, lasting a minute or more, without clear ictal evolution. The spike wave discharges were seen in a generalized distribution, maximal bifronto-temporally with some asymmetry (right greater than left). When the patient was subsequently awakened, the EEG dramatically improved and the spike wave discharges almost completely resolved. The spike and wave discharges recurred as the patient became drowsy again. Authors have described this as electrographic status during sleep (ESES) which is a typical childhood process of generalization of paroxysmal activity and can be seen with specific childhood epileptic encephalopathies. Treatment with levetiracetam was increased and his EEG and language subsequently returned to normal.</p>","PeriodicalId":7480,"journal":{"name":"American Journal of Electroneurodiagnostic Technology","volume":"50 3","pages":"211-8"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29365529","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}