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Effects of intravenous methylprednisolone on intraoperative neurophysiological monitoring during spinal cord tumor surgery: a case report
DC Field | Value | Language |
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dc.contributor.author | 박진영 | - |
dc.contributor.author | 박윤길 | - |
dc.contributor.author | 조용은 | - |
dc.date.accessioned | 2021-02-17T06:41:25Z | - |
dc.date.available | 2021-02-17T06:41:25Z | - |
dc.date.issued | 2019-06 | - |
dc.identifier.issn | 2671-6100 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/181682 | - |
dc.description.abstract | In spinal cord tumor surgery, muscle motor-evoked potentials (mMEPs) and direct wave (D-wave) have been used to predict neurological outcomes. A severe deterioration of mMEPs in the presence of intact D-wave may indicate temporary postoperative weakness. A 58-year-old man complaining of lower extremities’ weakness was diagnosed as cavernous malformation at T3/T4 level. During removal surgery, the amplitudes of mMEPs were reduced more than 80% in the right tibialis anterior and abductor halluces compared to the baseline in the absence of a change in D-wave. After administration of high-dose intravenous methylprednisolone (IVMP), the D-wave considerably amplified while the mMEPs did not change. The postoperative motor score was increased. This is the first report of the large amplification of D-waves immediately after administration of IVMP. It is suggestive that perioperative administration of high-dose IVMP immediately after the detection of the significant reduction of mMEPs amplitudes may improve neural conduction during spinal cord surgery. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean, English | - |
dc.publisher | Korean Society of Intraoperative Neurophysiological monitoring | - |
dc.relation.isPartOf | Journal of Intraoperative Neurophysiology (수술중신경계감시학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Effects of intravenous methylprednisolone on intraoperative neurophysiological monitoring during spinal cord tumor surgery: a case report | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Rehabilitation Medicine (재활의학교실) | - |
dc.contributor.googleauthor | Dae Geun Jeon | - |
dc.contributor.googleauthor | Yoon Ghil Park | - |
dc.contributor.googleauthor | Yong Eun Cho | - |
dc.contributor.googleauthor | Dawoon Kim | - |
dc.contributor.googleauthor | Jinyoung Park | - |
dc.identifier.doi | 10.33523/join.2019.1.2.50 | - |
dc.contributor.localId | A04941 | - |
dc.contributor.localId | A01596 | - |
dc.contributor.localId | A03865 | - |
dc.relation.journalcode | J03978 | - |
dc.identifier.eissn | 2671-6097 | - |
dc.subject.keyword | methylprednisolone | - |
dc.subject.keyword | intraoperative neurophysiological monitoring | - |
dc.subject.keyword | spinal cord tumor | - |
dc.contributor.alternativeName | Park, Jinyoung | - |
dc.contributor.affiliatedAuthor | 박진영 | - |
dc.contributor.affiliatedAuthor | 박윤길 | - |
dc.contributor.affiliatedAuthor | 조용은 | - |
dc.citation.volume | 1 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 50 | - |
dc.citation.endPage | 54 | - |
dc.identifier.bibliographicCitation | Journal of Intraoperative Neurophysiology (수술중신경계감시학회지), Vol.1(2) : 50-54, 2019-06 | - |
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